Kivlan, Victoria
Kivlan, Victoria is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Kivlan, Victoria can be contacted via phone (601) 815-6064.Contact Information
Primary practice address
2500 North State Street
Jackson MS 39216
Phone: (601) 815-6064
Fax: (601) 984-5085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 80755 | Texas |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A4056 | Mississippi |
Profile Details
| NPI number | 1225404841 |
|---|---|
| LBN Legal business name | Kivlan, Victoria |
| Credentials | AU.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2015 |
| Last updated | Jul 23rd, 2018 - about 8 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 | 1225404841 | NPPES |
| Mississippi | MEDICAID | 03232225 |
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