Individual
MRS. KIM GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC
Contact information
Practice address
2500 S BROADWAY, STE 200, EDMOND, OK 73013-4038
(405) 340-7056
(405) 330-0480
Mailing address
2500 S BROADWAY, STE 200, EDMOND, OK 73013-4038
(405) 340-7056
(405) 330-0480
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3147
OK
Other
Enumeration date
10/30/2007
Last updated
08/19/2013
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