Individual
MARY A KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
1801 ALFRESCO PL, LOUISVILLE, KY 40205-1807
(502) 295-6034
(502) 459-4362
Mailing address
1801 ALFRESCO PL, LOUISVILLE, KY 40205-1807
(502) 295-6034
(502) 459-4362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2167
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167
LICENSE
KY
Enumeration date
04/09/2008
Last updated
12/14/2014
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