Individual
KERRY MAE KENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 W SOUTHERN AVE STE B, MESA, AZ 85202-4716
(623) 888-3502
Mailing address
7556 E LAUREL ST, MESA, AZ 85207-2035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP10824
AZ
Other
Enumeration date
09/05/2017
Last updated
08/18/2022
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