Dominick, Kimberly
Dominick, Kimberly is an sole proprietor health care provider with primary practice located at 5536 Superior Dr Ste C , Baton Rouge LA 70816-6064. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dominick, Kimberly can be contacted via phone (225) 229-4511.Contact Information
Primary practice address
5536 Superior Dr Ste C
Baton Rouge LA 70816-6064
Phone: (225) 229-4511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3015 | Louisiana |
Profile Details
| NPI number | 1013042159 |
|---|---|
| LBN Legal business name | Dominick, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013042159 | NPPES |
| Louisiana | MEDICAID | 1319791 |
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