NPI 1174794754

Kimberly Charleston, MSCCCSLP

Practitioner Contractor Philadelphia, PA

Practice location

Address: 7051 Passyunk Ave, Philadelphia, PA 19142-1724
Phone: (215) 492-1079
Fax: (215) 492-1083

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence SL002343L (PA)

Other Contractor providers in Pennsylvania →

Registry record

NPI: 1174794754
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2008
Record last updated: 21 Mar 2008

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.