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

Individual provider Speech-Language Pathologist · NPI 1487329769

Mrs. Kimberly Jordan Stark, MS, CCC-SLP is a Speech-Language Pathologist in Collierville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2021
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

170 Ellas Pond Cv
Collierville, TN 38017-3817
Phone: (901) 205-9637
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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 0000006856 (TN)

Record details

NPI number1487329769
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 10, 2021
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

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