Kimberly Kleeman Wood, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5634 Issued in GA

Practice address

269 Springs Xing
Canton, GA 30114-8855

Phone

(770) 345-7796

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982643516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 SPRINGS XING",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148855",
            "telephone_number": "770-345-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 SPRINGS XING",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148855",
            "telephone_number": "770-345-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KIMBERLY",
        "middle_name": "KLEEMAN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3031",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "5634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Womack Jr., OD
• Women'S Imaging Specialists - Canton, LLC
• Anna Olivia Womick Bermudez, CNM
• Nelson G Woo, D.M.D.
• Brandi McGinnis Wood, M.S. CCC-SLP
• Melinda J Wood, LCSW
• Gregory John Woodard, P.T.
• Kristen Miller Woodbury, MA, CCC-SLP
• Woodmont Dental LLC
• Word of Mouth, LLC

• Speech-Language Pathologist in Canton, GA
• Providers in Canton, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.