Kymberly Barnard, M. S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Godfrey, IL
NPI 1326147802 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1326147802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 6501 Timber Ridge LN
Godfrey, IL 62035 - Phone
- (618) 466-6703
- Fax
- (618) 466-2943
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|
| 146.004663 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
6501 Timber Ridge LN
Godfrey, IL 62035
Mailing address
6501 Timber Ridge LN
Godfrey, IL 62035
Phone (618) 466-6703
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All providers in Godfrey, 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 Jul 8, 2007. 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.