NPI
Kimberli Paige Edmonson
NPI 1790205946
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- SLP-Assistant
- Type
- Individual
- Enumeration date
- 2017-06-20
- Last updated
- 2022-07-21
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Specialties
Licenses
- License TX
- 39555
Location
- Practice location
- 8836 Larch St
- City
- Lakeside TX
- Postal code
- 76135-4616
- Phone
- (817) 454-0857
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lakeside, TX. 9 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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