Doctor Name: | MRS. KIMBERLY A WRIGHT |
NPI Number: | 1619174760 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | KY- 1292 |
Business Practice Address: | 2582 Cerulean Rd Cadiz, KY - 422119605 |
Business Phone Number: | 2705223236 |
Business Fax Number: | 2705220825 |
Mailing Address: | 141 Dakota Ln, BENTON |
State: | KY |
Postal Code: | 420256338 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY- 1292 |
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 |