MEDICARE: KIMBERLY SPRINGER AUD

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
1	231H00000X	Audiologist		VA

General Provider Information

NPI Number	:	1841317971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY SPRINGER AUD

Provider Business Mailing Address
First Line	:	641 CARRIAGE HILL RD STE 200
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-6546
Country	:	US
Telephone Number	:	757-263-2800
Fax Number	:	757-263-2067

Provider Business Practice Location Address
First Line	:	641 CARRIAGE HILL RD STE 200
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-6546
Country	:	US
Telephone Number	:	757-263-2800
Fax Number	:	757-263-2800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	09/06/2024

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