Provider Demographics
NPI:1689415721
Name:SIMS, KATHRYN (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:REVENIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CF-SLP
Mailing Address - Street 1:8792 E FREMONT CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1903
Mailing Address - Country:US
Mailing Address - Phone:720-335-8843
Mailing Address - Fax:
Practice Address - Street 1:1958 ELM ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-1247
Practice Address - Country:US
Practice Address - Phone:720-335-8843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist