Individual
MS. KIM BEA KENNEDY-MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SP
Contact information
Practice address
131 ARCADIA ROAD, VINITA, OK 74301-2710
(918) 256-5644
Mailing address
131 ARCADIA RD, 715 N BREWER, VINITA, OK 74301-2710
(918) 256-5644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
398
OK
Other
Enumeration date
05/07/2007
Last updated
12/07/2022
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