Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Kimberly Ann Vidrine, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1891826798

Miss. Kimberly Ann Vidrine, MS, CCC-SLP is a Speech-Language Pathologist in Lake Charles, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science 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

227 Heather St
Lake Charles, LA 70605-6505
Phone: (337) 479-2382
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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 4427 (LA)

Record details

NPI number1891826798
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 9, 2007

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