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NPI Code Detail

MEDICARE: KIMBERLY GRACE HURDLE PLEASANTS

MEDICARE: KIMBERLY GRACE HURDLE PLEASANTS
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 Pathologist30000644NC

General Provider Information

NPI Number : 1811628001
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY GRACE HURDLE PLEASANTS
Provider Business Mailing Address
First Line : PO BOX 2417
Second Line :
City : WINTERVILLE
State : NC
Zip : 28590-2417
Country : US
Telephone Number : 252-355-5535
Fax Number : 252-355-5536
Provider Business Practice Location Address
First Line : 1425 E FIRE TOWER RD UNIT 104
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-4131
Country : US
Telephone Number : 252-355-5535
Fax Number : 252-355-5536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2022
Last Update Date : 06/28/2022

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Directions to “ KIMBERLY GRACE HURDLE PLEASANTS ” Practice Location

Language Start Address Practice Location
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.

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