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Susan Lynn Kennedy, M.S. CCC-SLP

Speech-Language Pathologist, in Wichita, KS. Individual provider (NPI-1).

NPI number1720205875
StatusActive
Last updated in NPPESOct 10, 2022

Details

NPI
1720205875
Entity type
Individual (NPI-1)
Name
Mrs. Susan Lynn Kennedy
Credential
M.S. CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 19, 2007
Certification date
Oct 10, 2022
Last updated
Oct 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2627KSYes

Practice location

13213 W 21st Ct Ste 104
Wichita, KS 67235-9625

Phone 316-573-6802 · Fax 316-721-2291

Mailing address

13213 W 21st Ct Ste 104
Wichita, KS 67235-9625

Phone 316-573-6802 · Fax 316-721-2291

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