Anthony, Kimberly
Anthony, Kimberly is an individual health care provider with primary practice located at 631 Summerwind Dr , Macon GA 31210-1547. 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. Anthony, Kimberly can be contacted via phone (478) 477-5483.Contact Information
Primary practice address
631 Summerwind Dr
Macon GA 31210-1547
Phone: (478) 477-5483
Fax: (478) 405-9400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP005658 | Georgia |
Profile Details
| NPI number | 1194888560 |
|---|---|
| LBN Legal business name | Anthony, Kimberly |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1194888560 | NPPES |
| Georgia | MEDICAID | 450232914A |
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