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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730395708 | NPPES |
| Florida | MEDICAID | 892082600 |
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