Laurie, Kimberly Ann

Laurie, Kimberly Ann is an individual health care provider with primary practice located at 890 N Cole Rd Suite A, Boise ID 83704-8638. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Laurie, Kimberly Ann can be contacted via phone (208) 323-8888.

Contact Information

Primary practice address
890 N Cole Rd Suite A Boise ID 83704-8638
Phone: (208) 323-8888
Fax: (208) 323-8889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP1419 Idaho

Profile Details

NPI number 1659436624
LBN Legal business name Laurie, Kimberly Ann
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1659436624 NPPES
Other 12003294 ASHA
Other SP748 ASHA
Other 000010148695 ASHA

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