Individual
NICOLE LYN KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
15701 E 1ST AVE STE 106, AURORA, CO 80011-9037
(303) 344-8060
Mailing address
15701 E 1ST AVE STE 106, AURORA, CO 80011-9037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14173756
ASHA
—
Enumeration date
07/11/2019
Last updated
05/17/2024
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