Individual
KIMBERLY L FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
1099 WILLOW WOODS DR, AIKEN, SC 29803-8965
(803) 634-3029
Mailing address
1099 WILLOW WOODS DR, AIKEN, SC 29803-8965
(803) 634-3029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2994
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0465
—
SC
Enumeration date
01/29/2007
Last updated
07/08/2007
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