Individual
KIMBERLY WADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 W A ST, HASTINGS, NE 68901-5650
(402) 461-7578
Mailing address
1924 W A ST, HASTINGS, NE 68901-5650
(402) 461-7578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473600101
—
NE
Enumeration date
01/19/2016
Last updated
01/19/2016
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