Individual
MRS. SUSAN LYNN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
13213 W 21ST CT STE 104, WICHITA, KS 67235-9625
(316) 573-6802
(316) 721-2291
Mailing address
13213 W 21ST CT STE 104, WICHITA, KS 67235-9625
(316) 573-6802
(316) 721-2291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2627
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004309950001
—
KS
Enumeration date
04/19/2007
Last updated
10/10/2022
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