Individual
MRS. KYMBERLY HENSLEY TUCKFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP
Contact information
Practice address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(971) 678-9822
Mailing address
355 CEDAR SPRINGS RD, SPARTANBURG, SC 29302-4628
(971) 678-9822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12973
OR
235Z00000X
Speech-Language Pathologist
Primary
5249
SC
Other
Enumeration date
02/15/2011
Last updated
08/14/2013
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