Individual
MS. MEGAN MARY KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2948 N 74TH ST, MILWAUKEE, WI 53210-1012
(414) 774-0764
Mailing address
2948 N 74TH ST, MILWAUKEE, WI 53210-1012
(414) 774-0764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2095-154
WI
Other
Enumeration date
09/30/2012
Last updated
09/30/2012
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