Individual
KIMBERLI SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1835 N WILDWOOD ST, BOISE, ID 83713-5146
(208) 473-0545
Mailing address
1488 E LAKE CREEK ST, MERIDIAN, ID 83642-4638
(208) 473-0545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2586
ID
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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