Kimberly Burton
Individual provider Active NPI Speech-Language Pathologist · Batavia, OH
NPI 1053716779 · NPPES record last updated Oct 23, 2014
Key facts
- NPI
- 1053716779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP5205 (OH)
- Practice address
- 2400 Clermont Center Dr
Batavia, OH 45103-1990 - Phone
- (513) 735-8300
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP5205 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP5205 | OH | Yes |
Addresses
Primary practice location
2400 Clermont Center Dr
Batavia, OH 45103-1990
Mailing address
5009 Calgary CT
Cincinnati, OH 45244-5002
Phone (513) 884-5654
Other providers in Batavia, OH
- Payton Brown
- Jennifer Brummell
- Kelsey Brummett
- Vanessa Bundy
- Sheri Keller Burdick
- Jamie Busch
- Cabrito Medical LLC
- Cleveland Caldwell
- Hannah Marie Calvert
- Megan Cameron
All providers in Batavia, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2014. 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.