NPI 1053455568 MRS. MARY KATHLEEN KENNEDY EDDSPED,CCC-SLP HIDEAWAY TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Mary Kathleen Kennedy - NPI: 1053455568

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. MARY KATHLEEN KENNEDY
NPI Number: 1053455568
Entity Type Code: Individual (1)
Gender: F
Credentials: EDDSPED,CCC-SLP
License Number: SA8471
Business Practice Address: 1613 Ginger Dr
Hideaway, TX - 757715311
Business Phone Number: 9035308169
Business Fax Number:
Mailing Address: 1613 Ginger Dr,
HIDEAWAY
State: TX
Postal Code: 757715311
Phone Number: 9035308169
Fax Number:
NPI Enumeration Date: 02/16/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: SA8471
Healthcare Provider Taxonomy:
(Secondary)
N
State: FL
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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