Individual
PATRICIA WINSTON KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
187 GALLAHER RD, KINGSTON, TN 37763-4721
(865) 376-4620
Mailing address
1001 GLENNSHIRE DR, KNOXVILLE, TN 37923-1958
(865) 705-8688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4198
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4198
LICENSE NUMBER
TN
Enumeration date
12/26/2009
Last updated
12/26/2009
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