Kimmey, Gina Leslie
Kimmey, Gina Leslie is an sole proprietor health care provider with primary practice located at 2840 Ne 19Th St , Pompano Beach FL 33062-3109. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Kimmey, Gina Leslie can be contacted via phone (954) 943-9589.Contact Information
Primary practice address
2840 Ne 19Th St
Pompano Beach FL 33062-3109
Phone: (954) 943-9589
Fax: (954) 943-4115
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA5518 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | SA 5518 | Florida |
Profile Details
NPI number | 1376686881 |
---|---|
LBN Legal business name | Kimmey, Gina Leslie |
Credentials | MS,CCC-SLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 14th, 2007 |
Last updated | Dec 21st, 2011 - about 13 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 | 1376686881 | NPPES |
Florida | MEDICAID | 890371900 |
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