Individual
KENNEDY BANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
18150 N ALTERRA PKWY, MARICOPA, AZ 85139-4200
(520) 568-5160
Mailing address
18150 N ALTERRA PKWY, MARICOPA, AZ 85139-4200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP13344
AZ
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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