Stevens, Kimberlee A
Stevens, Kimberlee A is an individual health care provider with primary practice located at 1021 Nw Highland Ave , Grants Pass OR 97526-1146. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Stevens, Kimberlee A can be contacted via phone (541) 474-5495.Contact Information
Primary practice address
1021 Nw Highland Ave
Grants Pass OR 97526-1146
Phone: (541) 474-5495
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | A0128 | Oregon |
Profile Details
| NPI number | 1700934049 |
|---|---|
| LBN Legal business name | Stevens, Kimberlee A |
| Credentials | SLPA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1700934049 | NPPES |
| Oregon | MEDICAID | A0128 |
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