| Doctor Name: | MS. KIMBERLY ANN THOMAS |
| NPI Number: | 1043608201 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCCSLP |
| License Number: | SP.4597 |
| Business Practice Address: | 255 Donald Drive Fairfield Inter. School Fairfield, OH - 45014 |
| Business Phone Number: | 5138294311 |
| Business Fax Number: | 5138297447 |
| Mailing Address: | 514 Ludlow Ave, Floor 1 CINCINNATI |
| State: | OH |
| Postal Code: | 45220 |
| Phone Number: | 5138294311 |
| Fax Number: | 5138297447 |
| NPI Enumeration Date: | 12/22/2014 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP.4597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| 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 |