Individual
KIMBERLI KAYE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5120 TELECOM DR STE I, MILAN, TN 38358-3496
(731) 793-2266
(731) 291-1131
Mailing address
5120 TELECOM DR STE I, MILAN, TN 38358-3496
(731) 793-2266
(731) 291-1131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2454
TN
Other
Enumeration date
08/31/2006
Last updated
09/18/2024
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