Kim Bragg in Overland Park - Speech-language Pathologist

Kim Bragg - NPI 1811024904

Kim Bragg is a Speech-language Pathologist in Overland Park, Kansas. Kim Bragg practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kim Bragg is 1811024904. The last update date is 2007-07-08.

Kim Bragg's current location address is 10300 W 103rd St Ste 300, Overland Park, Kansas. You can contact this provider via phone number 9138941910 and fax number 9138941174. The mailing address for Kim Bragg is 10300 W 103rd St Ste 300, Overland Park, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Bragg
Address 10300 W 103rd St Ste 300, Overland Park, Kansas
Phone Number 9138941910
Fax Number 9138941174
Sole Proprietor Y
Credentials MSCCC-SLP

NPI Number Detail

NPI Number 1811024904
Provider Enumeration Date 2007-02-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10300 W 103rd St Ste 300
City Overland Park
State Kansas (KS)
Post Code 662142658
Phone Number 9138941910
Fax Number 9138941174

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 2134
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12045045 NATIONAL LICENSE
2134 KS STATE LICENSE

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FAQs about Kim Bragg

What is the unique identifier code issued to Kim Bragg by the Centers for Medicare & Medicaid Services?

The Kim Bragg has been assigned the NPI (National Provider Identifier) 1811024904. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kim Bragg?

The Kim Bragg is physically situated at 10300 W 103Rd St Ste 300, in the city of Overland Park, state of KS, with the postal code 662142658.

What is Kim Bragg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kim Bragg is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.

On what date did Kim Bragg receive its 1811024904 assignment from the Centers for Medicare & Medicaid Services?

The Kim Bragg was assigned its 1811024904 on 2007-02-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kim Bragg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kim Bragg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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