Kimberly Wilt

NPI 1700033347 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1700033347
Gender Female
Enumeration Date 08/26/2008
Last Updated 08/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
12110 CLAYTON RD
SAINT LOUIS MO, 63131-2516, US
Phone (314) 989-8150
Fax
Business Location
12110 CLAYTON RD
SAINT LOUIS MO, 63131-2516, US
Phone (314) 989-8150
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 2008019026
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According to our database, Kimberly Wilt NPI is 1700033347, taxonomy code is 235Z00000X and license number is 2008019026, license state is located at Missouri. Kimberly Wilt physically located at 12110 Clayton Rd, Saint Louis MO, 63131-2516. NPI Number Kimberly Wilt has the Individual type.

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1700033347 NPI number is provided on an as is basis without warranty of any kind. 1700033347 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Wilt are for informational purposes only.