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Individual
MRS. KELLY IRENE KERNAGHAN
Active
Individual
MRS. KELLY IRENE KERNAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA1840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880475300
—
FL
01
—
BX726Z
MEDICARE
FL
Enumeration date
08/25/2008
Last updated
03/09/2012
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