Kimmy Shin Eller in Norfolk - Speech-language Pathologist

Kimmy Shin Eller - NPI 1104032523

Kimmy Shin Eller is a Speech-language Pathologist in Norfolk, Virginia. Kimmy Shin Eller practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kimmy Shin Eller is 1104032523. The last update date is 2007-07-08.

Kimmy Shin Eller's current location address is 601 Childrens Ln, Norfolk, Virginia. You can contact this provider via phone number 7576686589. The mailing address for Kimmy Shin Eller is 601 Childrens Ln, Norfolk, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimmy Shin Eller
Address 601 Childrens Ln, Norfolk, Virginia
Phone Number 7576686589
Fax Number
Sole Proprietor N
Credentials MS, CCC-SL

NPI Number Detail

NPI Number 1104032523
Provider Enumeration Date 2007-05-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 601 Childrens Ln
City Norfolk
State Virginia (VA)
Post Code 235071910
Phone Number 7576686589
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 2202004900
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12051459 VA ASHA CERTIFIED MEMBER

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FAQs about Kimmy Shin Eller

What is the unique 10-digit identifier code assigned to Kimmy Shin Eller by the Centers for Medicare & Medicaid Services?

The Kimmy Shin Eller has been issued the NPI (National Provider Identifier) 1104032523 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kimmy Shin Eller?

The Kimmy Shin Eller is situated at 601 Childrens Ln, in the city of Norfolk, state of VA, with the zip code 235071910.

What is Kimmy Shin Eller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kimmy Shin Eller is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.

On what date did the Kimmy Shin Eller receive the assignment of its 1104032523 from the Centers for Medicare & Medicaid Services?

The Kimmy Shin Eller was issued its 1104032523 by the Centers for Medicare & Medicaid Services on 2007-05-15.

When was the information related to Kimmy Shin Eller most recently updated or refreshed?

The details pertaining to the Kimmy Shin Eller, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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