Individual
MRS. KIMBERLY ANN LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC - SLP
Contact information
Practice address
407 FREMONT RD, EAST SYRACUSE, NY 13057-2696
(315) 434-3002
Mailing address
6135 PALISADES DR, CICERO, NY 13039-9209
(315) 699-2063
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
011848-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15-6012528
—
NY
Enumeration date
10/03/2011
Last updated
10/03/2011
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