Kayla Marie Zima, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Kewanee, IL
NPI 1003583980 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1003583980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146013441 (IL)
- Practice address
- 1318 W 6TH St
Kewanee, IL 61443-1261 - Phone
- (309) 852-5696
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146013441 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Stark Cty Spec Edu Dist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146013441 | IL | Yes |
Addresses
Primary practice location
1318 W 6TH St
Kewanee, IL 61443-1261
Mailing address
433 Ridge Dr
Geneseo, IL 61254-9130
Phone (712) 420-0615
Other providers in Kewanee, IL
All providers in Kewanee, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.