Individual
KIMBERLY MARIE KIVLIGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1397 S CANFIELD NILES RD, UNIT 1, AUSTINTOWN, OH 44515-4084
(330) 953-0129
(330) 953-0650
Mailing address
PO BOX 392573, PITTSBURGH, PA 15251-9573
(724) 343-4060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CSP2005110
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032248
—
OH
Enumeration date
04/12/2007
Last updated
10/07/2024
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