Moore, Kimberly

Moore, Kimberly is an individual health care provider with primary practice located at 10 Cunningham Dr , Monroe NY 10950-3906. 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. Moore, Kimberly can be contacted via phone (845) 782-8368.

Contact Information

Primary practice address
10 Cunningham Dr Monroe NY 10950-3906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 018101-1 New York

Profile Details

NPI number 1316190887
LBN Legal business name Moore, Kimberly
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Jun 15th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316190887 NPPES
New York Other 252YOOOOOX ALL OTHER EI SERVICES

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