Individual
MISS KIMBERLY ANN SPARKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
5214 S EAST ST, BUILDING D SUITE 1, INDIANAPOLIS, IN 46227
(800) 486-4449
(317) 780-3745
Mailing address
5214 S EAST ST, BUILDING D SUITE 1, INDIANAPOLIS, IN 46227
(800) 486-4449
(317) 780-3745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002253A
IN
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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