Individual
KENA KATHERINE MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1088 COUNTY ROAD 569, KIRBYVILLE, TX 75956-3375
(409) 423-9599
Mailing address
1088 COUNTY ROAD 569, KIRBYVILLE, TX 75956-3375
(409) 423-9599
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
32792
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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