Search › Tennessee › 235Z00000X
Kimberly Fogg, M.S., CCC-SLP
NPI 1710323266 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1224 Provost Dr
Jefferson City, TN 37760 - Phone
- (865) 475-3686
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee