Individual
KIMBERLY MIKKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3055 LEBANON PIKE STE 2100, NASHVILLE, TN 37214-2246
(615) 314-3351
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4915
TN
Other
Enumeration date
06/05/2014
Last updated
05/17/2024
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