Individual
DR. KAITLYN MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
621 S NEW BALLAS RD STE 385A, SAINT LOUIS, MO 63141-8214
(314) 251-5850
Mailing address
621 S NEW BALLAS RD STE 385A, SAINT LOUIS, MO 63141-8214
(314) 251-5850
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2016019652
MO
231H00000X
Audiologist
81003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447600424
—
MO
Enumeration date
06/21/2016
Last updated
01/29/2024
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