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Individual

MS. KENNEDI KEYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS, CCC-SLP

Contact information

Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(773) 255-5084
Mailing address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021021308
MO
235Z00000X
Speech-Language Pathologist
242006482
IL

Other

Enumeration date
09/28/2022
Last updated
09/28/2022
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