Martin, Kym Erin
Martin, Kym Erin is an individual health care provider with primary practice located at 15526 N 164Th Ln , Surprise AZ 85388-1107. 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. Martin, Kym Erin can be contacted via phone (623) 229-8574.Contact Information
Primary practice address
15526 N 164Th Ln
Surprise AZ 85388-1107
Phone: (623) 229-8574
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP4166 | Arizona |
Profile Details
NPI number | 1104964832 |
---|---|
LBN Legal business name | Martin, Kym Erin |
Credentials | MA CCC-SLP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2007 |
Last updated | Mar 2nd, 2009 - about 15 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 | 1104964832 | NPPES |
Arizona | MEDICAID | 643040 |
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