Individual
KENNEDY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 W CLOVERDALE RD, SCOTTSBORO, AL 35768-4264
(256) 259-1505
Mailing address
313 RIDGEGATE PL, HUNTSVILLE, AL 35801-1928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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