Individual
KIMBERLY MALCOMB HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1056 S. HWY 27, SUITE 9, SOMERSET, KY 42501
(606) 644-1166
(606) 677-0693
Mailing address
44 GRAYSON'S WAY, SOMERSET, KY 42503
(606) 679-5479
(606) 677-0693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1697
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XXXXXXX
—
KY
Enumeration date
02/03/2015
Last updated
02/03/2015
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