Individual
KIMBERLEY ADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-8179
Mailing address
2414 AIRPORT BLVD, NORTH MYRTLE BEACH, SC 29582-4316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4054
SC
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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