MEDICARE: MISTY NOELANI KIM M.S. 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	SI00004710	WA

General Provider Information

NPI Number	:	1992987606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISTY NOELANI KIM M.S. SLP

Provider Business Mailing Address
First Line	:	PO BOX 168
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-0168
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 BETHEL AVE STE E
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-4236
Country	:	US
Telephone Number	:	360-871-2076
Fax Number	:

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

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	12/04/2007

Similar Medicare Providers

1386718955 — MRS. GWENDOLYN MARIE TORGERSON M.S. CCC-SLP
Practice Location Address:

1008 BETHEL AVE STE E
PORT ORCHARD, WA
98366-4236

Practice Phone: 360-871-2076
Practice Fax: 360-895-0203

1417022245 — MRS. KARI LYNN HUNNICUTT M.S., CCC-SLP
Practice Location Address:

1008 BETHEL AVE STE E
PORT ORCHARD, WA
98366-4236

Practice Phone: 360-871-2076
Practice Fax: 360-895-0203

1063541555 — MISS JOANNE F WRIGHT LMP
Practice Location Address:

1008 BETHEL AVE STE A
PORT ORCHARD, WA
98366-4236

Practice Phone: 360-895-7744
Practice Fax: 360-895-1166

1194929950 — MS. DEBORAH SMITH
Practice Location Address:

1008 BETHEL AVE STE A
PORT ORCHARD, WA
98366-4236

Practice Phone: 360-509-3774
Practice Fax:

1790077147 — WEST SOUND CHIROPRACTIC, P.S.
Practice Location Address:

1008 BETHEL AVE STE A
PORT ORCHARD, WA
98366-4236

Practice Phone: 360-895-7744
Practice Fax: 360-895-1166

1083571319 — MEDWISE SOLUTIONS LLC
Practice Location Address:

1008 BETHEL AVE STE C
PORT ORCHARD, WA
98366-4236

Practice Phone: 360-895-3980
Practice Fax:

Directions to “ MISTY NOELANI KIM M.S. SLP” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.