Individual
KIMBERLYNN M MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
315 W 5TH ST, STORM LAKE, IA 50588-1743
(712) 732-7724
(712) 732-1275
Mailing address
315 W 5TH ST, STORM LAKE, IA 50588-1743
(712) 732-7724
(712) 732-1275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002324
IA
235Z00000X
Speech-Language Pathologist
0383470
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665141
—
IA
Enumeration date
01/20/2012
Last updated
09/10/2013
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