Individual
MRS. KIMBERLY BUCKENDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
207 N MAIN ST, AINSWORTH, NE 69210-1353
(402) 387-1420
Mailing address
207 N MAIN ST, AINSWORTH, NE 69210-1353
(402) 387-1420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12159723
NE
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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