Scaffetta, Kimberly M

Scaffetta, Kimberly M is an individual health care provider with primary practice located at 2017 S Elm Pl Suite 107, Broken Arrow OK 74012-7034. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Scaffetta, Kimberly M can be contacted via phone (918) 451-3277.

Contact Information

Primary practice address
2017 S Elm Pl Suite 107 Broken Arrow OK 74012-7034
Phone: (918) 451-3277
Fax: (918) 455-3891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 267 Oklahoma

Profile Details

NPI number 1114954500
LBN Legal business name Scaffetta, Kimberly M
Credentials AUD.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 19th, 2008 - about 17 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 1114954500 NPPES
Oklahoma MEDICAID 100670480

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