Kimball, Jacqueline M

Kimball, Jacqueline M is an sole proprietor health care provider with primary practice located at 130 E. State St. , Sherrill NY 13461. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Kimball, Jacqueline M can be contacted via phone (315) 231-5250.

Contact Information

Primary practice address
130 E. State St. Sherrill NY 13461
Phone: (315) 231-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X New York
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 024400-1 New York

Profile Details

NPI number 1881830495
LBN Legal business name Kimball, Jacqueline M
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2009
Last updated Jan 13th, 2020 - about 5 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.

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