Individual
KIMBERLY STRUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 WAKEFIELD DR APT C, CHARLOTTE, NC 28209-3148
(704) 285-8207
Mailing address
6033 QUEENS RIVER DR, MABLETON, GA 30126-3695
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
SLP005892
GA
235Z00000X
Speech-Language Pathologist
Primary
13280
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451549453B
—
GA
Enumeration date
01/05/2006
Last updated
05/27/2025
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