Individual
MR. KEVIN KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
217 BROOK AVE STE 201, PASSAIC, NJ 07055-3357
(973) 558-0105
Mailing address
217 BROOK AVE STE 201, PASSAIC, NJ 07055-3357
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01137700
NJ
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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