National Provider Identifier

Kim Marie Larock-Kasper

Kim Marie Larock-Kasper is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Wilson, NY and a listed phone number of (716) 751-9341.

NPI 1750650271Wilson, NYSpeech-Language Pathologist

Profile Overview

NPI
1750650271
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 29, 2011
Last Updated
June 25, 2021

Practice Location

  • 430 Young St
  • Wilson, NY 14172-9745

Phone: (716) 751-9341

Mailing Address

  • 3150 Woodland Ave
  • Niagara Falls, NY 14304-1311

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1750650271
Entity Type
Individual
Last Name
Larock-Kasper
First Name
Kim
Middle Name
Marie
Mailing Street Address
3150 Woodland Ave
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-1311
Mailing Country
US
Mailing Phone
(716) 545-2447
Practice Street Address
430 Young St
Practice City
Wilson
Practice State
NY
Practice ZIP Code
14172-9745
Practice Country
US
Practice Phone
(716) 751-9341
Enumeration Date
December 29, 2011
Last Updated
June 25, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
June 25, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)