Individual
MRS. KIMBERLY DAWN SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.E.D CCC-SLP
Contact information
Practice address
4100 S DOUGLAS AVE, OKLAHOMA CITY, OK 73109-3210
(405) 644-5445
(405) 636-7178
Mailing address
4100 S DOUGLAS AVE, OKLAHOMA CITY, OK 73109-3210
(405) 644-5445
(405) 636-7178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
920
OK
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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