Kaitlyn Kimrey, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11349 Issued in NC

Practice address

126 S Main St Ste 2a
Davidson, NC 28036-8096

Phone

(704) 222-6875

NPI assigned

Jun 13, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1821402223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LKN SPEECH LANGUAGE PATHOLOGY",
            "address_2": "126 S MAIN ST STE 2A",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368096",
            "telephone_number": "704-222-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST STE 2A",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368096",
            "telephone_number": "704-222-6875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Glenwood Dr",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281152876",
            "country_code": "US",
            "telephone_number": "704-664-7494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMREY",
        "first_name": "KAITLYN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1512161",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Kaesmeyer
• Sarah Jennifer Kane, MSW, LCSW
• Jennifer Kelley, MPT
• Crystal Kelly, RN, FNP
• John Kihm
• Sabrina Kimrey
• Shelia C King, LPC-A
• Mary Perkins Kinken, M.DIV., D.MIN.
• Daniel Lee Kirby, M.D.
• Kristin Dessert Kirk, L.C.S.W.

• Speech-Language Pathologist in Davidson, NC
• Providers in Davidson, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.