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Individual
CASEY R KENNY
Active
Individual
CASEY R KENNY
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025521900
—
NE
Enumeration date
01/07/2010
Last updated
01/07/2010
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