Provider Demographics
NPI:1396513750
Name:LINNEMAN, KAMI LYN (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KAMI
Middle Name:LYN
Last Name:LINNEMAN
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 1:400 S DRURY ST
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-8223
Mailing Address - Country:US
Mailing Address - Phone:405-880-7518
Mailing Address - Fax:
Practice Address - Street 1:400 S DRURY ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-8223
Practice Address - Country:US
Practice Address - Phone:405-880-7518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4287235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist