| Doctor Name: | KIMBER LEE KOELLING |
| NPI Number: | 1013959568 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 01688T |
| Business Practice Address: | 2800 Pierce St Sioux City, IA - 511043755 |
| Business Phone Number: | 7122793178 |
| Business Fax Number: | 7122793467 |
| Mailing Address: | 3410 Futures Dr, SOUTH SIOUX CITY |
| State: | NE |
| Postal Code: | 687763917 |
| Phone Number: | 4024124271 |
| Fax Number: | 4024124296 |
| NPI Enumeration Date: | 06/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 01688T |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |