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Contact Information

KIMBERLY MOODY, SLP
7719 W 11TH ST N
WICHITA, KS67212-3006
 Phone: 316-655-1636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY MOODY · (Female)

NPI # 1326240433
Status Active
Credentials SLP (Speech-Language Pathologists)
Entity Individual
Enumeration date 06/01/2007
Last updated 01/22/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 2485
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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