Individual
MRS. KIMBERLY BEAMAN FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED,CCC-SLP
Contact information
Practice address
3816 N ELM ST STE E, LING & KERR THERAPY SERVICES, GREENSBORO, NC 27455-2776
(336) 370-4070
(336) 370-9008
Mailing address
3816 N ELM ST STE E, LING & KERR THERAPY SERVICES, GREENSBORO, NC 27455-2776
(336) 370-4070
(336) 370-9008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1469
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135TX
BCBS
NC
05
—
7412059
—
NC
01
—
D0214
MEDCOST
NC
Enumeration date
01/26/2007
Last updated
03/04/2008
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