Individual
KIMBERLY HAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-2495
Mailing address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-2495
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2905
ID
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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