Wiggins, Kim Matthews

Wiggins, Kim Matthews is an sole proprietor health care provider with primary practice located at 2584 Faxon Ave , Memphis TN 38112-2238. 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. Wiggins, Kim Matthews can be contacted via phone (901) 378-3293.

Contact Information

Primary practice address
2584 Faxon Ave Memphis TN 38112-2238
Phone: (901) 378-3293
Fax: (901) 343-9311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 332 Tennessee
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7238226 Tennessee

Profile Details

NPI number 1942642020
LBN Legal business name Wiggins, Kim Matthews
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2013
Last updated Jul 25th, 2022 - about 3 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 1942642020 NPPES
Tennessee MEDICAID Q071980

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