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NPI Code Detail

MEDICARE: KIM CHRISTINE HILDERBRANDT MA SLP-CCC

MEDICARE: KIM CHRISTINE HILDERBRANDT MA SLP-CCC
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 PathologistLL60594298WA

General Provider Information

NPI Number : 1710359401
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM CHRISTINE HILDERBRANDT MA SLP-CCC
Provider Business Mailing Address
First Line : 2689 HOOVER AVE SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2689 HOOVER AVE SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3013
Country : US
Telephone Number : 360-443-3625
Fax Number : 360-443-3662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2015
Last Update Date : 10/21/2015

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Directions to “ KIM CHRISTINE HILDERBRANDT MA SLP-CCC” 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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