Individual
DANIEL RICHARD KENAGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4062 ARLETA AVE NE, KEIZER, OR 97303-4758
(503) 390-2271
Mailing address
4062 ARLETA AVE NE, KEIZER, OR 97303-4758
(503) 390-2271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14017
OR
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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