Individual
KIMBERLY ANN SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-A/SLP
Contact information
Practice address
65 RIDGECREST RD, JACKSON, TN 38305-2359
(731) 668-6076
(731) 668-7033
Mailing address
65 RIDGECREST RD, JACKSON, TN 38305-2359
(731) 668-6076
(731) 668-7033
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1065
TN
235Z00000X
Speech-Language Pathologist
000286180
TN
237600000X
Audiologist-Hearing Aid Fitter
1065
TN
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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