Mountain, Kimberly Niles

Mountain, Kimberly Niles is an individual health care provider with primary practice located at 3 Front St Suite 404, Rollinsford NH 03869-7001. 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. Mountain, Kimberly Niles can be contacted via phone (603) 834-4082.

Contact Information

Primary practice address
3 Front St Suite 404 Rollinsford NH 03869-7001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP1283 Maine

Profile Details

NPI number 1669578019
LBN Legal business name Mountain, Kimberly Niles
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 22nd, 2011 - about 14 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 1669578019 NPPES
Maine MEDICAID 281180099

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