Individual
KIMBERLY LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
303 N HURSTBOURNE PKWY, 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
4357 VIRGINIA AVE, CINCINNATI, OH 45223-1532
(513) 240-1688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12153824
ASHA
OH
Enumeration date
02/18/2013
Last updated
02/18/2013
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