Individual
MEAGAN W KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 GLENDALE RD, GALAX, VA 24333-6155
(336) 200-0087
Mailing address
3117 GLENDALE RD, GALAX, VA 24333-6155
(336) 200-0087
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005488
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202005488
—
VA
Enumeration date
08/12/2020
Last updated
08/12/2020
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