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Individual

MICHAEL KENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SLP

Contact information

Practice address
21001 WYOMING BLVD SE # KAFBE, SANDIA BASE ES, ALBUQUERQUE, NM 87116-1151
(505) 268-4356
Mailing address
21001 WYOMING BLVD SE # KAFBE, SANDIA BASE ES, ALBUQUERQUE, NM 87116-1151
(505) 268-4356

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
853
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H 2288
NM
Enumeration date
02/06/2007
Last updated
07/09/2007
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