Individual
SHAYNE KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.C.D. CF-SLP
Contact information
Practice address
3347 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 466-6111
(318) 466-6113
Mailing address
5545 DOWNING ST, ALEXANDRIA, LA 71301-3159
(318) 359-8634
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
#7138
LA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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