Individual
KENNEDY CAPERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50920 VAN DYKE AVE, SHELBY TWP, MI 48317-1367
(586) 307-4757
(855) 393-6740
Mailing address
50920 VAN DYKE AVE, SHELBY TWP, MI 48317-1367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101009863
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
03/12/2026
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