Doctor Name: | MS. KIMBERLY JO KLEIN |
NPI Number: | 1992901953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 6461 |
Business Practice Address: | 1661 Park Ridge Dr Chaska, MN - 553182841 |
Business Phone Number: | 9524033986 |
Business Fax Number: | |
Mailing Address: | 1276 Randolph Ave, SAINT PAUL |
State: | MN |
Postal Code: | 551052954 |
Phone Number: | 6512530446 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6461 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |