Kimberly, Jennifer Diane

Kimberly, Jennifer Diane is an individual health care provider with primary practice located at 2727 W Holcombe Blvd , Houston TX 77025-1669. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Kimberly, Jennifer Diane can be contacted via phone (713) 442-0000.

Contact Information

Primary practice address
2727 W Holcombe Blvd Houston TX 77025-1669
Phone: (713) 442-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 51393 Texas

Profile Details

NPI number 1013970425
LBN Legal business name Kimberly, Jennifer Diane
Credentials MA-CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jun 9th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013970425 NPPES
Texas MEDICAID 218985401

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