MEDICARE: KIMBERLY CARA VERNON MS, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	103720	TX

General Provider Information

NPI Number	:	1548113848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY CARA VERNON MS, CCC-SLP

Provider Business Mailing Address
First Line	:	4230 RAPIDS DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78410-5707
Country	:	US
Telephone Number	:	361-562-1102
Fax Number	:

Provider Business Practice Location Address
First Line	:	3925 FORT WORTH ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-2244
Country	:	US
Telephone Number	:	361-878-2860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ KIMBERLY CARA VERNON MS, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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