Individual
KATHERINE ANN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W. SWEETWATER, GLENDALE, AZ 85304
(602) 347-2600
Mailing address
5238 E EVANS DR, SCOTTSDALE, AZ 85254-2908
(602) 996-3917
(602) 996-7504
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
SLPL1775
AZ
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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