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Kyle Jennings

Speech-Language Pathologist, in Arcadia, CA. Individual provider (NPI-1).

NPI number1174242556
StatusActive
Last updated in NPPESAug 26, 2022

Details

NPI
1174242556
Entity type
Individual (NPI-1)
Name
Kyle Jennings
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 26, 2022
Certification date
Aug 26, 2022
Last updated
Aug 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,17086CAYes

Practice location

301 E Foothill Blvd Ste 100
Arcadia, CA 91006-2551

Phone 833-319-3969

Mailing address

301 E Foothill Blvd Ste 100
Arcadia, CA 91006-2551

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