Organization
SPEECH SWALLOWING AND VOICE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LYNN KENNEDY MS, CCC-SLP (OWNER)
(316) 573-6802
Entity
Organization
Contact information
Practice address
13213 W 21ST CT STE 104, WICHITA, KS 67235-9625
(316) 573-6802
(316) 721-2291
Mailing address
13213 W 21ST CT STE 104, WICHITA, KS 67235-9625
(316) 573-6802
(316) 721-2291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1412
KS
235Z00000X
Speech-Language Pathologist
Primary
2627
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003885570001
—
KS
05
—
30003885570005
—
KS
05
—
30003885570006
—
KS
Enumeration date
02/20/2009
Last updated
03/21/2023
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