Kidd, Kimberley Wilson
Kidd, Kimberley Wilson is an individual health care provider with primary practice located at 2700 152Nd Ave Ne , Redmond WA 98052-5543. 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. Kidd, Kimberley Wilson can be contacted via phone (425) 883-5693.Contact Information
Primary practice address
2700 152Nd Ave Ne
Redmond WA 98052-5543
Phone: (425) 883-5693
Fax: (425) 883-5929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL00001796 | Washington |
Profile Details
| NPI number | 1629110408 |
|---|---|
| LBN Legal business name | Kidd, Kimberley Wilson |
| Credentials | L.L. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Oct 18th, 2007 - about 19 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 | 1629110408 | NPPES |
| Washington | MEDICAID | 8410821 |
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