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

Miss. Kimberly Nicole Pendergrass, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1821358847

Miss. Kimberly Nicole Pendergrass, MACCC-SLP is a Speech-Language Pathologist in Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2012

Practice location Address checks out

112 Westshire Pl
Columbia, SC 29210-4663
Phone: (803) 229-5162
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 5316 (SC)

Record details

NPI number1821358847
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMay 23, 2012
Last updated in NPPESSeptember 12, 2013

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