Demesmin, Kim
Demesmin, Kim is an individual health care provider with primary practice located at 3265 Biddle Rd , Medford OR 97504-4122. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Demesmin, Kim can be contacted via phone (813) 653-1149.Contact Information
Primary practice address
3265 Biddle Rd
Medford OR 97504-4122
Phone: (813) 653-1149
Fax: (813) 654-6644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 105211 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA11923 | Florida |
Profile Details
| NPI number | 1497986756 |
|---|---|
| LBN Legal business name | Demesmin, Kim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2009 |
| Last updated | May 13th, 2020 - about 5 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 | 1497986756 | NPPES |
| Florida | MEDICAID | 007228900 | |
| Florida | MEDICAID | 014323100 |
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