Kimberly A Day, CCC,SLP
Individual provider Active NPI Speech-Language Pathologist · Morton, IL
NPI 1164720132 · NPPES record last updated Mar 1, 2011
Key facts
- NPI
- 1164720132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146004891 (IL)
- Practice address
- 77 Hickory Ridge Dr
Morton, IL 61550-1109 - Phone
- (309) 263-5243
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 146004891 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146004891 | IL | Yes |
Addresses
Primary practice location
77 Hickory Ridge Dr
Morton, IL 61550-1109
Mailing address
508 N Main St
Washington, IL 61571-1525
Phone (800) 773-1682
Other providers in Morton, IL
- Curt Meiss Counseling Services PC
- Brian Curtis
- Rachel Kathryn Cushman
- Jennifer Christine Daniel-Price
- David M. Skillrud MD LTD.
- Michelle Diane Deboer
- Jennifer B Deeb
- Lauren Elizabeth Deppe
- Dana J. Deshon
- Stacy J Dexter
All providers in Morton, 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 Mar 1, 2011. 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.