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NPI Code Detail

MEDICARE: MS. KIMBERLY JOY MILLICAN SLP

MEDICARE: MS. KIMBERLY JOY MILLICAN SLP
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 Pathologist2057AL

General Provider Information

NPI Number : 1427255082
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY JOY MILLICAN SLP
Provider Business Mailing Address
First Line : 1267 COUNTY ROAD 15
Second Line :
City : DETROIT
State : AL
Zip : 35552-2104
Country : US
Telephone Number : 205-712-0436
Fax Number : 205-695-0666
Provider Business Practice Location Address
First Line : 245 CAHABA VALLEY PKWY STE 200
Second Line :
City : PELHAM
State : AL
Zip : 35124-2217
Country : US
Telephone Number : 205-695-9313
Fax Number : 205-695-0666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2007
Last Update Date : 07/08/2007

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Directions to “ MS. KIMBERLY JOY MILLICAN SLP” Practice Location

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