Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly A Ennis, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1356686026

Kimberly A Ennis, MA, CCC-SLP is a Speech-Language Pathologist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1351 W Pine Ave Meridian Care And Rehabilitation Ctr
Meridian, ID 83642
Phone: (208) 888-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-1152 (ID)

Record details

NPI number1356686026
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 6, 2012
Last updated in NPPESDecember 6, 2012

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