Individual
KATHERYN M KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11510 ARLINGTON BLVD, SPANISH FORT, AL 36527-5832
(251) 209-1802
(251) 217-9101
Mailing address
11510 ARLINGTON BLVD, SPANISH FORT, AL 36527-5832
(251) 209-1802
(251) 217-9101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3719
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01091397
ASHA CERTIFICATION
AL
Enumeration date
02/24/2015
Last updated
12/15/2025
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