Individual
KIMBERLY ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
170 FOREST LN, FAYETTEVILLE, WV 25840-9013
(304) 222-1783
Mailing address
109 MINDEN AVE, OAK HILL, WV 25901-3107
(304) 222-1783
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1216
WV
Other
Enumeration date
08/26/2009
Last updated
08/23/2024
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