Provider Demographics
NPI:1316106487
Name:BEGIN, KIM L (AUD)
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:L
Last Name:BEGIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 TENEYCK ST STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-2486
Mailing Address - Country:US
Mailing Address - Phone:517-205-1468
Mailing Address - Fax:517-841-6917
Practice Address - Street 1:1111 TENEYCK ST
Practice Address - Street 2:SUITE 200
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-2461
Practice Address - Country:US
Practice Address - Phone:517-787-1468
Practice Address - Fax:517-841-6917
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000506231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist