Individual
KENNEDY WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 HILLCREST DR, SANFORD, NC 27330-4020
(919) 777-0240
(919) 777-0499
Mailing address
113 HILLCREST DR, SANFORD, NC 27330-4020
(919) 777-0240
(919) 777-0499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30005038
NC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
04/29/2026
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