Gomersall, Kimberly Kay

Gomersall, Kimberly Kay is an individual health care provider with primary practice located at 22845 Ne Cedar Park Cres , Redmond WA 98053-5887. 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. Gomersall, Kimberly Kay can be contacted via phone (808) 561-2320.

Contact Information

Primary practice address
22845 Ne Cedar Park Cres Redmond WA 98053-5887
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL60228375 Washington

Profile Details

NPI number 1306190236
LBN Legal business name Gomersall, Kimberly Kay
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2012
Last updated Oct 30th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306190236 NPPES
Washington MEDICAID LL60228375

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