Individual
MRS. KIMBERLY DAWN STOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3715 WOODKING DR, IDAHO FALLS, ID 83404-4720
(208) 589-8381
(208) 523-6002
Mailing address
1979 EAGLE POINTE CT, AMMON, ID 83406-6873
(208) 589-8381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1412
ID
Other
Enumeration date
08/30/2006
Last updated
05/26/2022
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