Johnson, Kimberly Paige

Johnson, Kimberly Paige is an individual health care provider with primary practice located at 19490 Sandridge Way, Suite 230 , Leesburg VA 20176-3467. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Johnson, Kimberly Paige can be contacted via phone (703) 858-5885.

Contact Information

Primary practice address
19490 Sandridge Way, Suite 230 Leesburg VA 20176-3467
Phone: (703) 858-5885
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2101001311 Virginia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001130 Virginia

Profile Details

NPI number 1063630234
LBN Legal business name Johnson, Kimberly Paige
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Mar 12th, 2024 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063630234 NPPES
Virginia MEDICAID 30015797610001
Virginia MEDICAID 1063630234

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