Individual
ALICIA KENASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N MELROSE AVE, TUCSON, AZ 85745-2387
(520) 225-1900
(520) 225-1901
Mailing address
2560 W CALLE TONALA, TUCSON, AZ 85745-2507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0622
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
615304
—
AZ
Enumeration date
02/08/2007
Last updated
07/09/2007
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