Provider Demographics
NPI:1861663866
Name:HOBSON, KIMBERLY CALDWELL (MA, CCC-A,)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:CALDWELL
Last Name:HOBSON
Suffix:
Gender:F
Credentials:MA, CCC-A,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 CLEMMONS RD STE A
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-7515
Mailing Address - Country:US
Mailing Address - Phone:336-766-2677
Mailing Address - Fax:336-778-2277
Practice Address - Street 1:3780 CLEMMONS RD STE A
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-7515
Practice Address - Country:US
Practice Address - Phone:336-766-2677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1024237600000X
NC5397231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter