Individual
MRS. KIMBERLY ANN BOYNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
810 W BRISTOL ST STE H, ELKHART, IN 46514-2954
(574) 266-0792
(574) 266-0927
Mailing address
1921 PEACE ROSE LN, MISHAWAKA, IN 46544-5892
(574) 255-4120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003685A
IN
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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