Individual
MRS. KIMBERLY A GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6205 CONSTITUTION DR, FORT WAYNE, IN 46804-1517
(260) 438-3586
(877) 992-0273
Mailing address
6205 CONSTITUTION DR, FORT WAYNE, IN 46804-1517
(260) 438-3586
(260) 432-7046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002279A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200681320A
FIRST STEPS
IN
05
—
200681320A
—
IN
Enumeration date
12/27/2007
Last updated
02/27/2018
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