Provider Demographics
NPI:1558382259
Name:ALMAND, KIMBERLY BURKARD (MS, CCC-MS)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:BURKARD
Last Name:ALMAND
Suffix:
Gender:F
Credentials:MS, CCC-MS
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:ANN
Other - Last Name:BURKARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:275 CHEROKEE PROFESSIONAL PARK
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5155
Mailing Address - Country:US
Mailing Address - Phone:865-983-4090
Mailing Address - Fax:865-984-2308
Practice Address - Street 1:275 CHEROKEE PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5155
Practice Address - Country:US
Practice Address - Phone:865-983-4090
Practice Address - Fax:865-984-2308
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSP000002206235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA22458UOtherREGENCE BLUESHIELD