Individual
KIMBERLY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
3041 COMMERCE DR STE A, FORT GRATIOT, MI 48059-3877
(810) 990-8644
(888) 455-8560
Mailing address
3041 COMMERCE DR STE A, FORT GRATIOT, MI 48059-3877
(810) 990-8644
(888) 455-8560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001340
MI
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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