Vidrine, Kimberly Ann

Vidrine, Kimberly Ann is an sole proprietor health care provider with primary practice located at 227 Heather St , Lake Charles LA 70605-6505. 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. Vidrine, Kimberly Ann can be contacted via phone (337) 479-2382.

Contact Information

Primary practice address
227 Heather St Lake Charles LA 70605-6505
Phone: (337) 479-2382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4427 Louisiana

Profile Details

NPI number 1891826798
LBN Legal business name Vidrine, Kimberly Ann
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891826798 NPPES
Louisiana MEDICAID 1308188

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