Individual provider · Type 1 NPI

Kimberly Charleston, MSCCCSLP

Contractor · Philadelphia, PA

NPI number 1174794754 Active

Practice location

7051 Passyunk Ave
Philadelphia, PA 19142-1724

Call (215) 492-1079 Map

Fax (215) 492-1083

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XSL002343L (PA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1174794754

Kimberly Charleston, MSCCCSLP's National Provider Identifier is 1174794754, issued on Mar 21, 2008. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 21, 2008.