Kaye A. Winnigham, MSP CCC SLP

Individual provider Active NPI Speech-Language Pathologist · Bradford, AR

NPI 1609090877 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609090877
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
294 (AR)
Practice address
504 W Main St
Bradford, AR 72020-9151
Phone
(501) 344-2707
NPI assigned
Apr 12, 2007
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

State licenses

LicenseStateTypeSpecialty
294ARMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 294 AR Yes

Addresses

Primary practice location

504 W Main St
Bradford, AR 72020-9151

Mailing address

PO Box 130
Bradford, AR 72020-0130
Phone (501) 344-8245

Other providers in Bradford, AR

All providers in Bradford, AR · Speech-Language Pathologist in Arkansas

Sources for this page

Verify at the official NPI Registry.