Individual
MS. KIMBERLY MUCKLEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
1736 HILLCREST DR, DELTA, CO 81416-2810
(720) 325-0031
Mailing address
1736 HILLCREST DR, DELTA, CO 81416-2810
(720) 325-0031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12119912
CO
Other
Enumeration date
01/07/2009
Last updated
03/18/2020
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