Yurisko, Kim Marie

Yurisko, Kim Marie is an individual health care provider with primary practice located at 2700 4Th St , Moundsville WV 26041-1809. 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. Yurisko, Kim Marie can be contacted via phone (304) 843-4400.

Contact Information

Primary practice address
2700 4Th St Moundsville WV 26041-1809
Phone: (304) 843-4400
Fax: (304) 843-4409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 9965 West Virginia

Profile Details

NPI number 1376725762
LBN Legal business name Yurisko, Kim Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Nov 28th, 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 1376725762 NPPES
West Virginia MEDICAID 0155001000

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