| Mrs Kimberly Benton, MS, CCC-SLP | |
|
2202 S Main St, Grove, OK 74344-5328 | |
| (918) 964-7025 | |
| (918) 964-7024 |
| Full Name | Mrs Kimberly Benton |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2202 S Main St, Grove, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780910182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2009015713 (Missouri) | Primary |
| Provider Name | Neo Orthopedic And Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1720153638 PECOS PAC ID: 4981941291 Enrollment ID: O20190124002060 |
| Provider Name | The Wellness Co., Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215336839 PECOS PAC ID: 2668844895 Enrollment ID: O20230215002741 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Benton, MS, CCC-SLP 201 S Northpark Ln, Joplin, MO 64801-8426 Ph: (417) 623-4313 | Mrs Kimberly Benton, MS, CCC-SLP 2202 S Main St, Grove, OK 74344-5328 Ph: (918) 964-7025 |
Danielle Decker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 825 E 3rd St, Grove, OK 74344 Phone: 918-964-7025 Fax: 918-964-7024 | |
Gynna Elise Thompson, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 S Broadway St, Grove, OK 74344 Phone: 918-786-3003 Fax: 918-787-2004 | |
Ms. Samantha Lane, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1046 Hillside Road, Grove, OK 74344 Phone: 918-801-8681 | |
Lacey Moss, M.S. CF -SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2202 S Main St, Grove, OK 74344 Phone: 918-964-7025 Fax: 918-964-7024 | |
Mrs. Felicia Jo Brecheisen, M.S, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 825 E 3rd St, Grove, OK 74344 Phone: 918-964-1921 | |
Mrs. Andra Renee Mitchell, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 825 E Third Street, Grove, OK 74344 Phone: 918-964-7025 | |
Brittni Jernigan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 825 E 3rd St, Grove, OK 74344 Phone: 918-527-1132 |