Tice, Kimberley
Tice, Kimberley is an individual health care provider with primary practice located at 2272 N Pleasants Highway , St. Marys WV 26170-0021. 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. Tice, Kimberley can be contacted via phone (304) 684-2215.Contact Information
Primary practice address
2272 N Pleasants Highway
St. Marys WV 26170-0021
Phone: (304) 684-2215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1871765503 |
|---|---|
| LBN Legal business name | Tice, Kimberley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2008 |
| Last updated | Apr 2nd, 2008 - about 18 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 | 1871765503 | NPPES |
| West Virginia | MEDICAID | 0153241000 |
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