Pendergrass, Kimberly Nicole
Pendergrass, Kimberly Nicole is an sole proprietor health care provider with primary practice located at 112 Westshire Pl , Columbia SC 29210-4663. 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. Pendergrass, Kimberly Nicole can be contacted via phone (803) 229-5162.Contact Information
Primary practice address
112 Westshire Pl
Columbia SC 29210-4663
Phone: (803) 229-5162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5316 | South Carolina |
Profile Details
| NPI number | 1821358847 |
|---|---|
| LBN Legal business name | Pendergrass, Kimberly Nicole |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2012 |
| Last updated | Sep 12th, 2013 - about 13 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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