NPI 1114071818
Kimberly Register, SLP
Practice location
- Address
- 311 Cooper Rd, Loganville, GA 30052-4976
- Phone
- (678) 205-5437
- Fax
- (678) 377-7950
- Mailing address
- 1211 Bridgewater Walk, Snellville, GA 30078-2056
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1114071818
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.