Kennedy, Kaitlyn Marie

Kennedy, Kaitlyn Marie is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 385A , Saint Louis MO 63141-8214. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Kennedy, Kaitlyn Marie can be contacted via phone (314) 251-5850.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 385A Saint Louis MO 63141-8214
Phone: (314) 251-5850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 81003 Texas
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2016019652 Missouri

Profile Details

NPI number 1447600424
LBN Legal business name Kennedy, Kaitlyn Marie
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2016
Last updated Jan 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447600424 NPPES
Missouri MEDICAID 1447600424

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