Individual
MRS. KIMBERLY FULLER ENSMINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
411 N MADISON ST, WEBB CITY, MO 64870-1238
(417) 673-6000
Mailing address
9146 COUNTY LANE 209, WEBB CITY, MO 64870-9125
(417) 673-2392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006015794
MO
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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