Individual
MRS. KIMBERLY ANN WARNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4414 E KIOWA ST, PHOENIX, AZ 85044-2467
(602) 361-6397
Mailing address
4414 E KIOWA ST, PHOENIX, AZ 85044-2467
(602) 361-6397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2130
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439239
—
AZ
Enumeration date
04/24/2007
Last updated
09/25/2012
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