Provider Demographics
NPI:1346824687
Name:SPRADLIN, KIMBERLY DOETZER (MS/CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DOETZER
Last Name:SPRADLIN
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8545 OAK CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8900
Mailing Address - Country:US
Mailing Address - Phone:614-477-1444
Mailing Address - Fax:
Practice Address - Street 1:6015 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-9620
Practice Address - Country:US
Practice Address - Phone:614-775-0615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist