Healthcare Provider Details

I. General information

NPI: 1710934195
Provider Name (Legal Business Name): KIMBERLY A. BABBISH M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY A. BABBISH AU.D.

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 FRANKLIN AVE
PALMERTON PA
18071-1521
US

IV. Provider business mailing address

217 FRANKLIN AVE
PALMERTON PA
18071-1521
US

V. Phone/Fax

Practice location:
  • Phone: 610-824-5050
  • Fax:
Mailing address:
  • Phone: 610-824-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT005929
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: