Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kimberly Ann Tucker, MEDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1548825185

Mrs. Kimberly Ann Tucker, MEDCCC-SLP is a Speech-Language Pathologist in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

5325 Choctaw St
St Augustine, FL 32092-0326
Phone: (904) 864-2573
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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 SA4450 (FL)

Record details

NPI number1548825185
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCC-SLP
Sole proprietorYes
NPI enumeratedMay 9, 2019
Last updated in NPPESMay 9, 2019

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