Individual
KIMBERLY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2800 SECKMAN RD, IMPERIAL, MO 63052-1941
(636) 296-2030
Mailing address
2800 SECKMAN RD, IMPERIAL, MO 63052-1941
(636) 296-2030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3990
OK
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
08/12/2026
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