Kimmey, Gina Leslie

Kimmey, Gina Leslie is an sole proprietor health care provider with primary practice located at 2840 Ne 19Th St , Pompano Beach FL 33062-3109. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Kimmey, Gina Leslie can be contacted via phone (954) 943-9589.

Contact Information

Primary practice address
2840 Ne 19Th St Pompano Beach FL 33062-3109
Phone: (954) 943-9589
Fax: (954) 943-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5518 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X SA 5518 Florida

Profile Details

NPI number 1376686881
LBN Legal business name Kimmey, Gina Leslie
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Dec 21st, 2011 - about 15 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 1376686881 NPPES
Florida MEDICAID 890371900

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