Kennedy, Mary A

Kennedy, Mary A is an sole proprietor health care provider with primary practice located at 1801 Alfresco Pl , Louisville KY 40205-1807. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kennedy, Mary A can be contacted via phone (502) 295-6034.

Contact Information

Primary practice address
1801 Alfresco Pl Louisville KY 40205-1807
Fax: (502) 459-4362
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2167 Kentucky

Profile Details

NPI number 1568635738
LBN Legal business name Kennedy, Mary A
Credentials M.S.,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Dec 14th, 2014 - about 12 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 1568635738 NPPES
Kentucky Other 2167 LICENSE

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