Kim Greenway, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Wrightsville, GA
NPI 1457414435 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1457414435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP005011 (GA)
- Practice address
- RR 4 Box 2084
Wrightsville, GA 31096-9208 - Phone
- (478) 864-6004
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP005011 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005011 | GA | Yes |
Addresses
Primary practice location
RR 4 Box 2084
Wrightsville, GA 31096-9208
Mailing address
RR 4 Box 2084
Wrightsville, GA 31096-9208
Phone (478) 864-6004
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- Melissa Murray Hansen
- Shirley Dianne Harrison
- Sarah Helton
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- Hospice Advantage, LLC.
All providers in Wrightsville, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.