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Organization
KIMBERLY SHEWMAKER, P.C.
Active
Organization
KIMBERLY SHEWMAKER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A SHEWMAKER MACCC (OWNER, SPEECH LANGUAGE PATHOLOGIST)
(512) 930-5439
Entity
Organization
Contact information
Practice address
1520 LEANDER ROAD, SUITE A, GEORGETOWN, TX 78628
(512) 930-5439
(512) 930-5431
Mailing address
1817 CROSS DRAW TRAIL, LEANDER, TX 78641
(512) 930-5439
(512) 930-5431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
528420
BLUE CROSS BLUE SHIELD
TX
01
—
7041261
AETNA
TX
Enumeration date
01/22/2007
Last updated
01/21/2010
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