MEDICARE: KIRBY LYNN FOLKERS SPEECH LANGUAGE PATH

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	8986	MN
2	235Z00000X	Speech-Language Pathologist	1178	ND

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710248992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRBY LYNN FOLKERS SPEECH LANGUAGE PATH

Provider Business Mailing Address
First Line	:	516 COOPER AVENUE
Second Line	:	SUITE 102
City	:	GRAFTON
State	:	ND
Zip	:	58237
Country	:	US
Telephone Number	:	701-352-2574
Fax Number	:	701-352-0188

Provider Business Practice Location Address
First Line	:	501 N COLUMBIA RD STOP 7132
Second Line	:
City	:	GRAND FORKS
State	:	ND
Zip	:	58203-2817
Country	:	US
Telephone Number	:	701-777-3745
Fax Number	:	701-777-3845

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

Provider Enumeration Date	:	06/04/2012
Last Update Date	:	04/15/2026

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Directions to “ KIRBY LYNN FOLKERS SPEECH LANGUAGE PATH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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