Kaelyn Kimball, M.A. CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9421 Issued in LA

Practice address

3930 Goodwood Ave
Baton Rouge, LA 70806

Phone

(225) 329-9812

NPI assigned

Sep 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1992531404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 GOODWOOD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 GOODWOOD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-329-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "KAELYN",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin L Kilpatrick, MD
• Robin Elizabeth Kilpatrick, M.D.
• Christina Yoosung Kim, DO
• Ngoc Kim
• Emily Kimball, MA CCC-SLP
• Therese Curley Kimball, PA-C
• Sonya Rena Kimber, CAC
• Kimberly Allen
• Jenna Kimble, MD
• Megan J Kimble

• Speech-Language Pathologist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.