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NPI Code Detail

MEDICARE: KIMBERLY MCCRANIE THORNTON MS-CCC, SLP

MEDICARE: KIMBERLY MCCRANIE THORNTON MS-CCC, 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 PathologistSA5125FL

General Provider Information

NPI Number : 1851692149
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY MCCRANIE THORNTON MS-CCC, SLP
Provider Business Mailing Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 904-202-9750
Fax Number : 904-202-9298
Provider Business Practice Location Address
First Line : 8823 SAN JOSE BLVD STE 209
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4288
Country : US
Telephone Number : 904-404-7044
Fax Number : 904-329-2303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2010
Last Update Date : 06/23/2026

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Directions to “ KIMBERLY MCCRANIE THORNTON MS-CCC, SLP” Practice Location

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