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General NPI Number Information
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NPI Number | 1992917546
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Entity Type | Individual
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Provider Name | MRS. KIMBERLY A VONO
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4100 RIVER RD
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City | EAST CHINA
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State | MI
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Zip | 48054-2909
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Country | US
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Telephone | 810-329-5383
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Fax | 810-329-8919
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Provider Business Mailing Address
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Address Line | 4331 SANDY CREEK DR
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-3081
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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