Kimberly Martin
Individual provider Active NPI Speech-Language Pathologist · Boonsboro, MD
NPI 1508718479 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1508718479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 10981 (MD)
- Practice address
- 141 S Main St
Boonsboro, MD 21713-1203 - Phone
- (301) 432-5457
- NPI assigned
- Feb 12, 2026
- 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 |
|---|---|---|---|
| 10981 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10981 | MD | Yes |
Addresses
Primary practice location
141 S Main St
Boonsboro, MD 21713-1203
Mailing address
17541 Timberleigh Way
Woodbine, MD 21797-7928
Phone (240) 429-8306
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All providers in Boonsboro, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2026. 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.