Kimberly Arrena Lynn, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Fort Branch, IN
NPI 1073798583 · NPPES record last updated Jan 2, 2008
Key facts
- NPI
- 1073798583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22003581A (IN)
- Practice address
- 8056 S Victoria Dr
Fort Branch, IN 47648-8101 - Phone
- (812) 664-2929
- Fax
- (866) 756-0806
- NPI assigned
- Jan 2, 2008
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22003581A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22003581A | IN | Yes |
Addresses
Primary practice location
8056 S Victoria Dr
Fort Branch, IN 47648-8101
Mailing address
8056 S Victoria Dr
Fort Branch, IN 47648-8101
Phone (812) 664-2929
Other providers in Fort Branch, IN
- Christopher Tom Kirkwood
- Jared J Kocher
- Heath Christian Kohlmeier
- Carolyn Faye Lamar
- Larry W Lutz
- Victoria Lynn Moore
- Murphy Chiropractic Services Inc
- Tina Marie Murphy
- Wayne Patrick Murphy
- Martha Amanda Newcomb
All providers in Fort Branch, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2008. 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.