Individual
MOLLY A KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A.02050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203082
—
OH
05
—
1851838189
—
WV
Enumeration date
01/25/2017
Last updated
05/08/2017
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