Individual
MRS. KIM MATTHEWS WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2584 FAXON AVE, MEMPHIS, TN 38112-2238
(901) 378-3293
(901) 343-9311
Mailing address
2584 FAXON AVE, MEMPHIS, TN 38112-2238
(901) 378-3293
(901) 343-9311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
332
TN
235Z00000X
Speech-Language Pathologist
Primary
7238226
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q071980
—
TN
Enumeration date
07/18/2013
Last updated
07/25/2022
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