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NPI Code Detail

MEDICARE: MRS. KIMBERLY LEONARD GRENOBLE

MEDICARE: MRS. KIMBERLY LEONARD GRENOBLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist5953NC

General Provider Information

NPI Number : 1871797035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY LEONARD GRENOBLE
Provider Business Mailing Address
First Line : 427 BETHEL DR
Second Line :
City : SALISBURY
State : NC
Zip : 28144-2809
Country : US
Telephone Number : 704-636-7250
Fax Number :
Provider Business Practice Location Address
First Line : 1505 BRINGLE FERRY RD
Second Line :
City : SALISBURY
State : NC
Zip : 28146-4776
Country : US
Telephone Number : 704-637-5885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 05/19/2016

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Directions to “ MRS. KIMBERLY LEONARD GRENOBLE ” Practice Location

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