Moore, Kimberly Ileen

Moore, Kimberly Ileen is an individual health care provider with primary practice located at 4443 Rowan Rd , New Port Richey FL 34653-6198. 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 Ileen can be contacted via phone (813) 361-1952.

Contact Information

Primary practice address
4443 Rowan Rd New Port Richey FL 34653-6198
Phone: (813) 361-1952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8850 Florida

Profile Details

NPI number 1730395708
LBN Legal business name Moore, Kimberly Ileen
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Aug 3rd, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730395708 NPPES
Florida MEDICAID 892082600

Popular Providers