Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kimberly Charleston, MSCCCSLP

Individual provider Contractor · NPI 1174794754

MS. Kimberly Charleston, MSCCCSLP is a Contractor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2008
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Practice location Address checks out

7051 Passyunk Ave
Philadelphia, PA 19142-1724
Phone: (215) 492-1079
Fax: (215) 492-1083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence SL002343L (PA)

Record details

NPI number1174794754
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedMarch 21, 2008
Last updated in NPPESMarch 21, 2008

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