Individual
JESSICA RAE KENNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5316 WILLIAM FLYNN HWY, GIBSONIA, PA 15044-9697
(724) 444-5333
Mailing address
1345 ENTERPRISE DR, WEST CHESTER, PA 19380-5964
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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