Wagner, Kimberli

Wagner, Kimberli is an individual health care provider with primary practice located at 1411 3Rd St Ste C , Port Huron MI 48060-5480. 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. Wagner, Kimberli can be contacted via phone (810) 350-9149.

Contact Information

Primary practice address
1411 3Rd St Ste C Port Huron MI 48060-5480
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7101000426 Michigan

Profile Details

NPI number 1396980835
LBN Legal business name Wagner, Kimberli
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2008
Last updated Dec 11th, 2018 - about 7 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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