Individual
MRS. KIMBERLY KRAUS DISMUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3311 PINE TIMBERS DR, JOHNSON CITY, TN 37604-1404
(423) 202-2123
Mailing address
3311 PINE TIMBERS DR, JOHNSON CITY, TN 37604-1404
(423) 202-2123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000002719
TN
Other
Enumeration date
01/25/2009
Last updated
01/25/2009
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