Individual
HOLLY KENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 SHERBURN CT, ORLANDO, FL 32828-9017
(407) 883-8636
Mailing address
606 SHERBURN CT, ORLANDO, FL 32828-9017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ8735
FL
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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