Individual
MRS. KIMBER MICHELLE STILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
130 SIGNATURE DR, FARMINGTON, AR 72730-8669
(903) 293-0927
Mailing address
130 SIGNATURE DR, FARMINGTON, AR 72730-8669
(903) 293-0927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
P7881
AR
235Z00000X
Speech-Language Pathologist
Primary
SP#2385
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157906721
—
AR
01
—
5Y581
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/16/2006
Last updated
08/03/2022
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