MRS. Kimberly Nicole Fogg, M.S., CCC-SLP
NPI #1710323266 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1710323266
- Entity Type
- Individual
- Name
- MRS. Kimberly Nicole Fogg, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- May 10, 2013
- Last Updated
- May 10, 2013
Practice Location
- Address
- 1224 PROVOST DR
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-3833
- Phone
- (865) 475-3686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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