Organization
KIM K VANN, LLC
Active
Other names
Speech Therapy and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VANN M.ED, CCC-SLP (OWNER)
(334) 699-8878
Entity
Organization
Contact information
Practice address
3124 W MAIN ST, SUITE 14, DOTHAN, AL 36305-1146
(334) 699-8878
(334) 699-5175
Mailing address
3124 W MAIN ST, SUITE 14, DOTHAN, AL 36305-1146
(334) 699-8878
(334) 699-5175
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3061
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131670
—
AL
Enumeration date
05/16/2012
Last updated
05/16/2012
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