Provider Demographics
NPI:1922291103
Name:ARADO, KIMBERLY G (MA CCC-A)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:G
Last Name:ARADO
Suffix:
Gender:F
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:G
Other - Last Name:ARADO-JACOBS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA CCC-A
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:80 DOCTORS DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-7289
Practice Address - Country:US
Practice Address - Phone:828-650-8048
Practice Address - Fax:828-650-8049
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8239231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7413226Medicaid
NCP01030024OtherRR MEDICARE
NCP01030024OtherRR MEDICARE