Wilson, Kimberly Dawn
Wilson, Kimberly Dawn is an individual health care provider with primary practice located at 1488 Old Ocilla Rd , Tifton GA 31794-4152. 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. Wilson, Kimberly Dawn can be contacted via phone (229) 386-5200.Contact Information
Primary practice address
1488 Old Ocilla Rd
Tifton GA 31794-4152
Phone: (229) 386-5200
Fax: (229) 386-1412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP007348 | Georgia |
Profile Details
| NPI number | 1265710263 |
|---|---|
| LBN Legal business name | Wilson, Kimberly Dawn |
| Credentials | M.ED., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2011 |
| Last updated | Jul 26th, 2011 - about 15 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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