| Kelley Marie Jimenez, | |
|
11 Dairy Ln, Fredericksburg, VA 22405-2663 | |
| (540) 371-9414 | |
| Not Available |
| Full Name | Kelley Marie Jimenez |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 11 Dairy Ln, Fredericksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710439989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202010841 (Virginia) | Primary |
| Provider Name | The Temple Foundation Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336366079 PECOS PAC ID: 4486630985 Enrollment ID: O20160303000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Marie Jimenez, 11 Dairy Ln, Fredericksburg, VA 22405-2663 Ph: Not Available | Kelley Marie Jimenez, 11 Dairy Ln, Fredericksburg, VA 22405-2663 Ph: (540) 371-9414 |
Christine B Albrecht, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8020 River Stone Dr, Fredericksburg, VA 22407 Phone: 540-834-2500 |
Miss Lori Beth Anderson, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1020 Wright Ct, Fredericksburg, VA 22401 Phone: 434-665-3885 |
Danielle Bliss Stevens, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1051 Care Way Ste 200, Fredericksburg, VA 22401 Phone: 540-371-7137 |
Brittany Leigh Mammucari, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Executive Center Pkwy Ste 106, Fredericksburg, VA 22401 Phone: 540-446-2654 |
Brenda Lynn Scheel, M.S.CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 14 Pennsbury Ct, Fredericksburg, VA 22406 Phone: 321-794-8381 |
Ms. Kristin Kudarauskas, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8723 Laroque Run Dr, Fredericksburg, VA 22407 Phone: 540-693-0322 |
Tiffany Vernon Phelps, CCC/SLP Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 4610 Heartland Way, Fredericksburg, VA 22408 Phone: 540-809-8010 Fax: 540-891-1622 |