| Kimberly Homan, MS, CCC-SLP | |
|
295 Phalen Blvd, Saint Paul, MN 55130-2400 | |
| (651) 254-3200 | |
| Not Available |
| Full Name | Kimberly Homan |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 295 Phalen Blvd, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225650005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 9534 (Minnesota) | Primary |
| Provider Name | Group Health Plan Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Provider Name | Regions Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Homan, MS, CCC-SLP 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Kimberly Homan, MS, CCC-SLP 295 Phalen Blvd, Saint Paul, MN 55130-2400 Ph: (651) 254-3200 |
Michelle Montelibano, M.S., CCC Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 521 West 7th St., Saint Paul, MN 55102 Phone: 651-225-4558 | |
Shannon Stewart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 709 University Ave W, Saint Paul, MN 55104 Phone: 651-227-8471 | |
Ms. Elizabeth Kopf, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8074 Fax: 651-241-7177 | |
Angie Schueller, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop: 11102d, Saint Paul, MN 55101 Phone: 651-254-2066 Fax: 651-254-0910 | |
Anne M Elg, SLP, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 561 7th St W, Saint Paul, MN 55102 Phone: 651-225-4558 Fax: 651-225-9474 | |
Mr. Jerome Marcouiller Quellier, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 435 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-3200 | |
Melinda Wurl, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 709 University Ave W, Saint Paul, MN 55104 Phone: 651-227-8471 |