Individual
KIMBERLY LYNN KENNEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 BURKE ST, ASHDOWN, AR 71822-2908
(903) 278-7709
Mailing address
420 LR 17, ASHDOWN, AR 71822-9451
(903) 278-7709
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
202434
AR
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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