Johnson, Kimberly Ann
Johnson, Kimberly Ann is an sole proprietor health care provider with primary practice located at 9244 Biorka Cir , Eagle River AK 99577-8619. 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. Johnson, Kimberly Ann can be contacted via phone (907) 240-9970.Contact Information
Primary practice address
9244 Biorka Cir
Eagle River AK 99577-8619
Phone: (907) 240-9970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 197 | Alaska |
Profile Details
| NPI number | 1407255680 |
|---|---|
| LBN Legal business name | Johnson, Kimberly Ann |
| Credentials | CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2014 |
| Last updated | Aug 14th, 2014 - about 12 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 | 1407255680 | NPPES |
| Other | 01098951 | ASHA NATIONAL CERTIFICATION | |
| Other | SLPS 197 | ASHA NATIONAL CERTIFICATION |
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