Individual provider · Type 1 NPI

Michaela Rose Kimball

Speech-Language Assistant · Clovis, CA

NPI number 1003617507 Active

Practice location

3066 Portals Ave
Clovis, CA 93619-9380

Call (559) 281-1095 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X7450 (CA)

Speech-Language Assistant: Definition to come...

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About NPI 1003617507

Michaela Rose Kimball's National Provider Identifier is 1003617507, issued on Mar 20, 2025. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Clovis, CA. The record was last updated on Mar 20, 2025.