Mrs Johnna L Kimble, MS, CCC-SLP is a
Speech-language Pathologist based in Clayton, New Mexico. Mrs Johnna L Kimble is licensed to practice in New Mexico (license number 4186) and her current practice location is
323 S 5th St, Clayton, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 374-9313.
NPI number for Mrs Johnna L Kimble is 1316129836 and her current mailing address is 101 N 2nd St, Raton, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316129836.
Healthcare Provider's Profile
Full Name | Mrs Johnna L Kimble |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 323 S 5th St, Clayton, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316129836
- Provider Enumeration Date: 11/27/2007
- Last Update Date: 11/27/2007
Medical Identifiers
Medical identifiers for Mrs Johnna L Kimble such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316129836 | NPI | - | NPPES |
64075362 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4186 (New Mexico) | 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. Mrs Johnna L Kimble 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 |
Mrs Johnna L Kimble, MS, CCC-SLP 101 N 2nd St, Raton, NM 87740-3803 Ph: (505) 445-7090 | Mrs Johnna L Kimble, MS, CCC-SLP 323 S 5th St, Clayton, NM 88415-2641 Ph: (505) 374-9313 |
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