Kimberly Wallis-rucklos, MA CCC SLP - Speech-Language Pathologist in Boise, ID

Kimberly Wallis-rucklos, MA CCC SLP is a Speech-language Pathologist based in Boise, Idaho. Kimberly Wallis-rucklos is licensed to practice in Idaho (license number SLP-1374) and her current practice location is 6855 W Fairview Ave, Ste. 120, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 323-8888.

NPI number for Kimberly Wallis-rucklos is 1548446420 and her current mailing address is 6855 W Fairview Ave, Ste. 120, Boise, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548446420.

Contact Information

Kimberly Wallis-rucklos, MA CCC SLP
6855 W Fairview Ave, Ste. 120,
Boise, ID 83704-8502
(208) 323-8888
(208) 323-8889



Healthcare Provider's Profile

Full NameKimberly Wallis-rucklos
GenderFemale
SpecialitySpeech-language Pathologist
Location6855 W Fairview Ave, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548446420
  • Provider Enumeration Date: 01/10/2008
  • Last Update Date: 01/10/2008

Medical Identifiers

Medical identifiers for Kimberly Wallis-rucklos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548446420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SLP-1374 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Wallis-rucklos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Wallis-rucklos, MA CCC SLP
6855 W Fairview Ave, Ste. 120,
Boise, ID 83704-8502

Ph: (208) 323-8888
Kimberly Wallis-rucklos, MA CCC SLP
6855 W Fairview Ave, Ste. 120,
Boise, ID 83704-8502

Ph: (208) 323-8888

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› Verified 1 days ago


Speech-Language Pathologist in Boise, ID

Jennifer Dahms, MS/CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2995 N Cole Rd, Suite 130, Boise, ID 83704
Phone: 208-559-2348    Fax: 888-559-4660
Lauren Rose Addison, M.S. SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 8620 W Emerald St Ste 100, Boise, ID 83704
Phone: 208-898-1368    
Kelli Shaw,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3115 N Sycamore Dr, Boise, ID 83703
Phone: 208-401-6401    
Christy Baltazor, M.S., CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2127 W Overland Rd, Boise, ID 83705
Phone: 208-321-4898    
Megan Patrick, MA, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2127 W Overland Rd, Boise, ID 83705
Phone: 208-321-4898    
Emily Chapman, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 8860 W Evening Star Ln, Boise, ID 83709
Phone: 814-873-9144    
Kimberly Degraw,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706
Phone: 208-367-8282    

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