Individual ProviderStacey KymesSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address150 E Sonterra Blvd, Ste 200, San Antonio, TX 78258-4098(210) 499-0732(210) 616-0283PECOS EnrollmentBased on the most recent information from CMS, provider Stacey Kymes 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 ID1578881355Provider TypeIndividualFull NameKymes, StaceyGenderFemaleSole ProprietorNoEnumeration Date5/4/2010Last Updated5/4/2010Contact InformationPractice LocationPractice Address150 E Sonterra Blvd, Ste 200, San Antonio, TX 78258-4098Phone(210) 499-0732Fax(210) 499-5425Mailing LocationMailing Address4775 Hamilton Wolfe Rd Ste 1, San Antonio, TX 78229-3456Phone(210) 616-0283Fax(210) 616-0071Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense16812Texas