Kimberly Lane
NPI #1043842792 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1043842792
- Entity Type
- Individual
- Name
- Kimberly Lane
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Feb 11, 2020
- Last Updated
- Feb 11, 2020
Practice Location
- Address
- 419 E BROAD ST
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501-3339
- Phone
- (931) 854-5056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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