Individual ProviderKatherine WimberlySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address340 16th Ave N Ste B, Jacksonville Beach, FL 32250-4819(904) 249-8893(803) 225-6777PECOS EnrollmentBased on the most recent information from CMS, provider Katherine Wimberly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063197663Provider TypeIndividualFull NameWimberly, KatherineGenderFemaleSole ProprietorYesEnumeration Date6/20/2023Last Updated6/20/2023Contact InformationPractice LocationPractice Address340 16th Ave N Ste B, Jacksonville Beach, FL 32250-4819Phone(904) 249-8893FaxUnlisted FaxMailing LocationMailing Address653 Monument Rd Apt 1608, Jacksonville, FL 32225-6461Phone(803) 225-6777FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer