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NPI Code Detail

MEDICARE: KIMBERLEY YAMETH RENDON

MEDICARE: KIMBERLEY YAMETH RENDON
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 Pathologist124081TX

General Provider Information

NPI Number : 1952242315
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLEY YAMETH RENDON
Provider Business Mailing Address
First Line : 10801 WAYNE RIDDELL LOOP APT 7308
Second Line :
City : AUSTIN
State : TX
Zip : 78748-4461
Country : US
Telephone Number : 210-709-1622
Fax Number :
Provider Business Practice Location Address
First Line : 2100 E MARTIN LUTHER KING JR BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78702-1342
Country : US
Telephone Number : 512-900-7934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

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Directions to “ KIMBERLEY YAMETH RENDON ” Practice Location

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