Kimberly S Knight, MA CCC SLP

Individual provider Active NPI Speech-Language Pathologist · Unionville, MO

NPI 1255460481 · NPPES record last updated Feb 19, 2009

Key facts

NPI
1255460481
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
118471 (MO)
Practice address
803 S 20TH St
Putnam County R-I School District
Unionville, MO 63565-1482
Phone
(660) 947-3361
Fax
(660) 947-2912
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
118471MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirksville Physical Therapy Services LLC Speech-Language Pathologist Past Accepting new patients
Putnam County R-I Schools Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 118471 MO Yes

Addresses

Primary practice location

803 S 20TH St
Putnam County R-I School District
Unionville, MO 63565-1482

Mailing address

803 S 20TH St
Unionville, MO 63565-1482
Phone (660) 947-3361

Other identifiers

IdentifierTypeStateIssuer
463838623MedicaidMO

Other providers in Unionville, MO

All providers in Unionville, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.