Individual
JOY KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS SPEECH LANGUAGE PATHOLOGY, GREENVILLE, NC 27834-4300
(252) 744-6104
(252) 744-6148
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5834
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891835856
—
NC
01
—
19EFY
BCBSNC
NC
Enumeration date
02/07/2007
Last updated
03/03/2021
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