Provider Demographics
NPI:1710934195
Name:BABBISH, KIMBERLY A (MS)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:A
Last Name:BABBISH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:KIMBERLY
Other - Middle Name:A
Other - Last Name:BABBISH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:217 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-1521
Mailing Address - Country:US
Mailing Address - Phone:610-824-5050
Mailing Address - Fax:
Practice Address - Street 1:217 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:PALMERTON
Practice Address - State:PA
Practice Address - Zip Code:18071-1521
Practice Address - Country:US
Practice Address - Phone:610-824-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005929231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA086332Medicare ID - Type Unspecified
Q30814Medicare UPIN