Jasensky, Kimberly Dawn

Jasensky, Kimberly Dawn is an sole proprietor health care provider with primary practice located at 800 Hospital Dr , Columbia MO 65201-5275. 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. Jasensky, Kimberly Dawn can be contacted via phone (573) 814-6000.

Contact Information

Primary practice address
800 Hospital Dr Columbia MO 65201-5275
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2015037683 Missouri

Profile Details

NPI number 1114068400
LBN Legal business name Jasensky, Kimberly Dawn
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Jan 3rd, 2019 - about 7 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 1114068400 NPPES
Florida MEDICAID 889727100

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