Individual
BETHANY KINKAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
443 OCEAN AVE, EAST ROCKAWAY, NY 11518-1237
(516) 887-8300
Mailing address
9 FURROW PL, MILLER PLACE, NY 11764-2433
(631) 721-5493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022299
NY
Other
Enumeration date
08/10/2012
Last updated
09/27/2012
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