Provider Demographics
NPI:1114412426
Name:ARMSTRONG, KIMBERLY (AUD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10713 FLAGSHIP CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2431
Mailing Address - Country:US
Mailing Address - Phone:630-689-6154
Mailing Address - Fax:
Practice Address - Street 1:1600 A ST STE 110
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-5146
Practice Address - Country:US
Practice Address - Phone:630-689-6154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4100237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4100OtherSTATE LICENSE