Individual
MRS. KIMBERLY DAWN JASENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
3599 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL 32216-4252
(904) 891-2736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015037683
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889727100
—
FL
Enumeration date
02/09/2007
Last updated
01/03/2019
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