Active NPIIndividual provider

Kymell Y Agudo Garcia, MS, CCC-SLP

Speech-Language Pathologist, in Salem, Oregon

NPI Number1063383693
Practice location
1475 Capitol St NE, Salem, OR 97301-7850
Fax
888-835-4257
Last updated
September 16, 2025

Kymell Y Agudo Garcia, MS, CCC-SLP is a Speech-Language Pathologist, based in Salem, OR. Kymell Y Agudo Garcia, MS, CCC-SLP holds the professional credentials of MS, CCC-SLP. The NPI number for Kymell Y Agudo Garcia, MS, CCC-SLP is 1063383693 and holds license No. 18344 (OR). The current practice location address is 1475 Capitol St NE, Salem, OR 97301-7850 and the office can be reached by phone at 971-599-1712 and by fax at 888-835-4257. The NPI was assigned on September 16, 2025 and the record was last updated in NPPES on September 16, 2025.

●Provider Profile Details

NPI Number
1063383693
Provider Name
Kymell Yarice Agudo Garcia
Credential
MS, CCC-SLP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Enumeration Date
September 16, 2025
Last Update Date
September 16, 2025
Certification Date
September 16, 2025
NPI Status
Active

◉Business Practice Location Address

Address
1475 Capitol St NE
Salem, OR 97301-7850
City
Salem
State
Oregon
ZIP
97301-7850
Country
US
Phone Number
971-599-1712
Fax Number
888-835-4257

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✉Business Mailing Address

Address
Po Box 12381
Salem, OR 97309-0381
City
Salem
State
OR
ZIP
97309-0381
Phone Number
971-599-1712

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Speech-Language Pathologist, 235Z00000XYes18344OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Kymell Y Agudo Garcia, MS, CCC-SLP?

The NPI number of Kymell Y Agudo Garcia, MS, CCC-SLP is 1063383693. It was assigned on September 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Kymell Y Agudo Garcia, MS, CCC-SLP?

Kymell Y Agudo Garcia, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X) and holds license No. 18344 (OR).

Where does Kymell Y Agudo Garcia, MS, CCC-SLP practice?

The practice location is 1475 Capitol St NE, Salem, OR 97301-7850. The office can be reached at 971-599-1712 (phone) or 888-835-4257 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063383693 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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