Organization
NICOLEKENNEY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KENNEY (OWNER)
(585) 469-0007
Entity
Organization
Contact information
Practice address
6795 S ALBION ST, CENTENNIAL, CO 80122-2101
(585) 469-0007
Mailing address
6795 S ALBION ST, CENTENNIAL, CO 80122-2101
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14173756
ASHA
—
Enumeration date
07/11/2019
Last updated
02/18/2021
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