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Kimberly Sue Wildgor

Speech-Language Pathologist, in Oxnard, CA. Individual provider (NPI-1).

NPI number1639856446
StatusActive
Last updated in NPPESMay 15, 2026

Details

NPI
1639856446
Entity type
Individual (NPI-1)
Name
Kimberly Sue Wildgor
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2023
Certification date
May 15, 2026
Last updated
May 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,21666CAYes

Practice location

1901 N Rice Ave Ste 170
Oxnard, CA 93030-7912

Phone 805-485-7000

Mailing address

1901 N Rice Ave Ste 170
Oxnard, CA 93030-7912

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