Wilson-Lewis, Kimberly Renee

Wilson-Lewis, Kimberly Renee is an individual health care provider with primary practice located at 462 Breckenridge Trce , Kingsport TN 37663-2988. 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-Lewis, Kimberly Renee can be contacted via phone (615) 669-6418.

Contact Information

Primary practice address
462 Breckenridge Trce Kingsport TN 37663-2988
Phone: (615) 669-6418
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP006884 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6628 Tennessee

Profile Details

NPI number 1770976144
LBN Legal business name Wilson-Lewis, Kimberly Renee
Credentials PHD/CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2015
Last updated Aug 31st, 2020 - about 6 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 1770976144 NPPES
Tennessee MEDICAID Q048423

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