Individual
MISS MERIDETH KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3416 ORION CIR, ANCHORAGE, AK 99517-1651
(562) 773-3568
Mailing address
PO BOX 221524, ANCHORAGE, AK 99522-1524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119070
AK
Other
Enumeration date
05/30/2013
Last updated
09/16/2021
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