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NPI Code Detail

MEDICARE: KIMBERLY ALEXANDER

MEDICARE:   KIMBERLY  ALEXANDER
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 PathologistSLP008758GA

General Provider Information

NPI Number : 1811386584
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ALEXANDER
Provider Business Mailing Address
First Line : 45 RIVERHILL DR SW
Second Line :
City : COVINGTON
State : GA
Zip : 30014-3448
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4186 MILL ST NE
Second Line : SUITE B
City : COVINGTON
State : GA
Zip : 30014-2559
Country : US
Telephone Number : 770-788-1521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2015
Last Update Date : 01/17/2015

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Directions to “ KIMBERLY ALEXANDER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.