Individual
LUCI KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3216 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(414) 344-6515
Mailing address
1415 LONE OAK RD, EAGAN, MN 55121-1113
(612) 244-1712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5040154
WI
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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