Individual
MR. KENNETH D EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
37189 TOWERING OAKS DR, NEW BALTIMORE, MI 48047-5599
(586) 854-5736
Mailing address
37189 TOWERING OAKS DR, NEW BALTIMORE, MI 48047-5599
(586) 854-5736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14071902
MI
Other
Enumeration date
11/10/2014
Last updated
12/05/2016
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