Individual
KIMBERLY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1844 PALOMINO DR, GREENWOOD, AR 72936-4974
(479) 629-6578
Mailing address
1844 PALOMINO DR, GREENWOOD, AR 72936-4974
(479) 629-6578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1443
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134829721
—
AR
Enumeration date
05/28/2008
Last updated
05/28/2008
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