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Contact Information

KIM DEMESMIN
3265 BIDDLE RD
MEDFORD, OR97504-4122
 Phone: 813-653-1149
 Fax: 813-654-6644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for KIM DEMESMIN · (Female)

NPI Number 1497986756
Status Active
Credentials
Entity Individual
Enumeration date 08/05/2009
Last updated 05/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SA11923
  • TX License # 105211
  • FL Medicaid 007228900
  • FL Medicaid 014323100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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