Individual
REBECCA MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAS
Contact information
Practice address
3409 CLEVELAND HEIGHTS BLVD, LAKELAND, FL 33803-4807
(863) 646-6663
(863) 709-9065
Mailing address
1888 PROSPECT AVENUE, ORLANDO, FL 32814
(407) 286-3186
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5093
FL
237700000X
Hearing Instrument Specialist
AST366
FL
Other
Enumeration date
10/01/2014
Last updated
08/12/2015
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