Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberli Shaner, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1992675938

Kimberli Shaner, MSCCC-SLP is a Speech-Language Pathologist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

1835 N Wildwood St
Boise, ID 83713-5146
Phone: (208) 473-0545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-2586 (ID)

Record details

NPI number1992675938
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedNovember 6, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 5, 2025

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