Lewis, Kim M

Lewis, Kim M is an individual health care provider with primary practice located at 808 North St , Cody WY 82414. 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. Lewis, Kim M can be contacted via phone (307) 527-7060.

Contact Information

Primary practice address
808 North St Cody WY 82414
Fax: (307) 587-2497
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP380 Wyoming

Profile Details

NPI number 1669665311
LBN Legal business name Lewis, Kim M
Credentials MSCCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2007
Last updated Aug 24th, 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 1669665311 NPPES
Wyoming MEDICAID 1770688871

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