King, Kimberly Rae

King, Kimberly Rae is an individual health care provider with primary practice located at 640 6Th Ave S , North Myrtle Beach SC 29582-3310. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. King, Kimberly Rae can be contacted via phone (843) 663-4327.

Contact Information

Primary practice address
640 6Th Ave S North Myrtle Beach SC 29582-3310
Phone: (843) 663-4327
Fax: (843) 663-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3045 South Carolina

Profile Details

NPI number 1720057011
LBN Legal business name King, Kimberly Rae
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 12th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720057011 NPPES
South Carolina Other Q325400281 BCBS OF SC
South Carolina Other 87726 BCBS OF SC
South Carolina MEDICAID SA0405 BCBS OF SC

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