Individual
AVA E KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
10035 DONALD AVE, LEO, IN 46765-9505
(260) 414-0071
Mailing address
PO BOX 253, LEO, IN 46765-0253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004496A
IN
Other
Enumeration date
07/01/2024
Last updated
07/12/2024
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