Kimberlyn Hurst

Individual provider Active NPI Speech-Language Pathologist · Wilmore, KY

NPI 1972964583 · NPPES record last updated Mar 9, 2016

Key facts

NPI
1972964583
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
14062651 (KY)
Practice address
617 Tennent Dr
Wilmore, KY 40390-1287
Phone
(432) 638-1019
NPI assigned
Mar 9, 2016
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

LicenseStateTypeSpecialty
14062651KYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14062651 KY Yes

Addresses

Primary practice location

617 Tennent Dr
Wilmore, KY 40390-1287

Mailing address

617 Tennent Dr
Wilmore, KY 40390-1287
Phone (432) 638-1019

Other providers in Wilmore, KY

All providers in Wilmore, KY · Speech-Language Pathologist in Kentucky

Sources for this page

Verify at the official NPI Registry.