Provider Demographics
NPI:1790655520
Name:HALL, KIMBERLY PAWLING (COMS, CVRT)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:PAWLING
Last Name:HALL
Suffix:
Gender:F
Credentials:COMS, CVRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15301 STONEBRIAR WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-5355
Mailing Address - Country:US
Mailing Address - Phone:407-883-8057
Mailing Address - Fax:
Practice Address - Street 1:15301 STONEBRIAR WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-5355
Practice Address - Country:US
Practice Address - Phone:407-883-8057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225CX0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider