Individual
KIMBERLY K. SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
701 S 8TH ST, CLINTON, MO 64735-2901
(660) 885-8768
Mailing address
701 S 8TH ST, CLINTON, MO 64735-4404
(660) 885-8768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01834
MO
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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