Provider Demographics
NPI:1255505145
Name:HOWARD, KIMBERLY MORGAN (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:MORGAN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-A
Mailing Address - Street 1:1724 HAMILL RD
Mailing Address - Street 2:OASIS PARK BUILDING I, SUITE 102
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4905
Mailing Address - Country:US
Mailing Address - Phone:423-267-6738
Mailing Address - Fax:423-209-9112
Practice Address - Street 1:1724 HAMILL RD
Practice Address - Street 2:OASIS PARK BUILDING I, SUITE 102
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4905
Practice Address - Country:US
Practice Address - Phone:423-267-6738
Practice Address - Fax:423-209-9112
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001376231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist