Doctor Name: | MS. REGINA DARLENE KINNARD |
NPI Number: | 1518255603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED. |
License Number: | 106899 |
Business Practice Address: | 594 Alton Ave Pontiac, MI - 483412607 |
Business Phone Number: | 2488186638 |
Business Fax Number: | |
Mailing Address: | 594 Alton Ave, PONTIAC |
State: | MI |
Postal Code: | 483412607 |
Phone Number: | 2488186638 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2011 |
NPI Last Update Date: | 07/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 106899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |