MEDICARE: KIMBERLY ZEIGLER

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	237700000X	Hearing Instrument Specialist	HAS-0512	SC

General Provider Information

NPI Number	:	1902339922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ZEIGLER

Provider Business Mailing Address
First Line	:	107 W 5TH NORTH ST
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-6446
Country	:	US
Telephone Number	:	843-871-9669
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 W 5TH NORTH ST
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-6446
Country	:	US
Telephone Number	:	843-871-9669
Fax Number	:

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

Provider Enumeration Date	:	04/06/2017
Last Update Date	:	04/06/2017

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