Kimberly C Rayburn, ccc-slp
Speech-Language Pathologist, in Ridgeland, MS. Individual provider (NPI-1).
NPI number1255487690
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255487690
- Entity type
- Individual (NPI-1)
- Name
- Kimberly C Rayburn
- Credential
- ccc-slp
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | S0722 | MS | Yes |
Practice location
711 Avignon DrRidgeland, MS 39157-5120
Phone 601-605-6777 · Fax 601-605-8869
Mailing address
302 Autumn Crest DrRidgeland, MS 39157-2603
Phone 601-856-1519
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All 139 Speech-Language Pathologist providers in Ridgeland · All 1,643 providers in Ridgeland
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