Kimberly Robertson Scanlon, MA, CCC-SLP is a
Speech-language Pathologist based in Cottageville, South Carolina. Kimberly Robertson Scanlon is licensed to practice in South Carolina (license number 6936) and her current practice location is
284 Blanton Ln, Cottageville, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 909-0748.
NPI number for Kimberly Robertson Scanlon is 1871004085 and her current mailing address is 284 Blanton Ln, Cottageville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871004085.
Healthcare Provider's Profile
Full Name | Kimberly Robertson Scanlon |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 284 Blanton Ln, Cottageville, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871004085
- Provider Enumeration Date: 10/14/2017
- Last Update Date: 01/22/2021
Medical Identifiers
Medical identifiers for Kimberly Robertson Scanlon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871004085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 168249 (Kentucky) | Secondary |
235Z00000X | Speech-language Pathologist | 6936 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Robertson Scanlon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Robertson Scanlon, MA, CCC-SLP 284 Blanton Ln, Cottageville, SC 29435-3108 Ph: (843) 909-0748 | Kimberly Robertson Scanlon, MA, CCC-SLP 284 Blanton Ln, Cottageville, SC 29435-3108 Ph: (843) 909-0748 |
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