Individual
MS. KIMBERLY H DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
904 B BEACH BLVD, JACKSONVILLE BEACH, FL 32250
(904) 445-1622
(904) 293-1815
Mailing address
8550 TOUCHTON RD APT 2236, JACKSONVILLE, FL 32216-2237
(904) 445-1622
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2158
FL
231H00000X
Audiologist
KY-0419
KY
231HA2500X
Assistive Technology Supplier Audiologist
AY2158
FL
237600000X
Audiologist-Hearing Aid Fitter
AY2158
FL
237700000X
Hearing Instrument Specialist
KY-0814
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102216900
—
FL
01
—
1861796302
BLUEGRASS AUDIOLOGY LLC
KY
05
—
7100241380
—
KY
Enumeration date
01/15/2008
Last updated
07/08/2020
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