Individual
KIM HORNSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
2424 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2741
(706) 324-6112
(706) 596-8259
Mailing address
739 HUNTER CT, AUBURN, AL 36832-5402
(334) 559-5466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET001544
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP007561
GA
Other
Enumeration date
07/08/2010
Last updated
05/25/2011
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