Individual
KIMBERLY KIRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
8816 OLD GREENSBORO RD, APT 3101, TUSCALOOSA, AL 35405-8809
(205) 393-6907
Mailing address
8816 OLD GREENSBORO RD, APT 3101, TUSCALOOSA, AL 35405-8809
(205) 393-6907
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05183
MD
235Z00000X
Speech-Language Pathologist
2776
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05183
LICENSE #
MD
Enumeration date
04/11/2007
Last updated
02/21/2017
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