Provider Demographics
NPI:1710248992
Name:FOLKERS, KIRBY LYNN (SPEECH LANGUAGE PATH)
Entity Type:Individual
Prefix:
First Name:KIRBY
Middle Name:LYNN
Last Name:FOLKERS
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:KIRBY
Other - Middle Name:
Other - Last Name:NEWHOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SPEECH LANGUAGE PATH
Mailing Address - Street 1:516 COOPER AVENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GRAFTON
Mailing Address - State:ND
Mailing Address - Zip Code:58237
Mailing Address - Country:US
Mailing Address - Phone:701-352-2574
Mailing Address - Fax:701-352-0188
Practice Address - Street 1:801 OLDHAM RD.
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:ND
Practice Address - Zip Code:58256
Practice Address - Country:US
Practice Address - Phone:701-696-2212
Practice Address - Fax:701-696-8217
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1178235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist