Gillis, Kimberly Ann

Gillis, Kimberly Ann is an sole proprietor health care provider with primary practice located at 300 Belanger Dr , Pembroke NH 03275-3258. 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. Gillis, Kimberly Ann can be contacted via phone (603) 485-9000.

Contact Information

Primary practice address
300 Belanger Dr Pembroke NH 03275-3258
Phone: (603) 485-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 01106622
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1405 New Hampshire

Profile Details

NPI number 1144841131
LBN Legal business name Gillis, Kimberly Ann
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2020
Last updated May 4th, 2020 - about 6 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 1144841131 NPPES
Other 01106622 AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION (ASHA)
Other 1405 AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION (ASHA)

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