Individual
KIMBERLEY DAWN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2301 COLUMBIA PIKE, SUITE 125, ARLINGTON, VA 22204
(202) 544-5439
(202) 379-1797
Mailing address
2301 COLUMBIA PIKE, SUITE 125, ARLINGTON, VA 22204
(202) 544-5439
(202) 379-1797
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
112289
TX
235Z00000X
Speech-Language Pathologist
Primary
2202010079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112289
COMMERCIAL INSURANCE
TX
05
—
112289
—
TX
Enumeration date
08/08/2018
Last updated
08/09/2022
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