| Doctor Name: | KIMBERLY MALCOMB HARRIS |
| NPI Number: | 1356731947 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1697 |
| Business Practice Address: | 1056 S. Hwy 27, Suite 9 Somerset, KY - 42501 |
| Business Phone Number: | 6066441166 |
| Business Fax Number: | 6066770693 |
| Mailing Address: | 44 Grayson's Way, SOMERSET |
| State: | KY |
| Postal Code: | 42503 |
| Phone Number: | 6066795479 |
| Fax Number: | 6066770693 |
| NPI Enumeration Date: | 02/03/2015 |
| NPI Last Update Date: | 02/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1697 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| 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 |