Individual
KYALA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W OLD LINDEN RD, SHOW LOW, AZ 85901-4608
(928) 537-6037
Mailing address
PO BOX 1150, PINEDALE, AZ 85934
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14596
AZ
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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