| Doctor Name: | LISA KENNEDY |
| NPI Number: | 1033519848 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | HAS-P-10150619 |
| Business Practice Address: | 974 Sw Veterans Way Suite 2 Redmond, OR - 977562564 |
| Business Phone Number: | 5415485335 |
| Business Fax Number: | 5415482166 |
| Mailing Address: | 2510 E Sunset Rd, Unit 5-260 LAS VEGAS |
| State: | NV |
| Postal Code: | 891203511 |
| Phone Number: | 7027980113 |
| Fax Number: | 8662915242 |
| NPI Enumeration Date: | 08/28/2014 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | HAS-P-10150619 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |