MEDICARE: KIMBERLY GENE RYOR

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		WA

General Provider Information

NPI Number	:	1285598664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY GENE RYOR

Provider Business Mailing Address
First Line	:	15410 HORSESHOE AVE SW
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98367-7132
Country	:	US
Telephone Number	:	470-645-0888
Fax Number	:

Provider Business Practice Location Address
First Line	:	2288 FIRCREST DR SE
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-2641
Country	:	US
Telephone Number	:	360-443-3530
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ KIMBERLY GENE RYOR ” Practice Location

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