Individual
KIMBERLY VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
664 BOONE STATION DR APT 5, BURLINGTON, NC 27215-6037
(919) 933-7720
Mailing address
664 BOONE STATION DR APT 5, BURLINGTON, NC 27215-6037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7503
NC
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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