Individual
NICOLE PERRY KAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6688 MAIN STREET, P.O. BOX 130, GLOUCESTER, VA 23061
(804) 229-4418
Mailing address
7204 DUVAL AVE, GLOUCESTER, VA 23061-6104
(804) 229-4418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0002364
CO
235Z00000X
Speech-Language Pathologist
12083199-4102
UT
235Z00000X
Speech-Language Pathologist
Primary
2202006637
VA
Other
Enumeration date
08/30/2012
Last updated
01/19/2025
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