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NPI Code Detail

MEDICARE: MS. KIMBERLY MARIE FRIGARD SLP

MEDICARE:  MS. KIMBERLY MARIE FRIGARD  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
1235Z00000XSpeech-Language Pathologist4426AZ

General Provider Information

NPI Number : 1891835039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY MARIE FRIGARD SLP
Provider Business Mailing Address
First Line : 4106 N FREMONT AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-1069
Country : US
Telephone Number : 520-887-3625
Fax Number :
Provider Business Practice Location Address
First Line : 1010 E 10TH ST
Second Line :
City : TUCSON
State : AZ
Zip : 85719-5813
Country : US
Telephone Number : 520-232-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/08/2007

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Directions to “ MS. KIMBERLY MARIE FRIGARD SLP” Practice Location

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