| Jennifer Kennedy, | |
|
124 E Park Dr, Beulaville, NC 28518-6916 | |
| (888) 258-6905 | |
| Not Available |
| Full Name | Jennifer Kennedy |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 124 E Park Dr, Beulaville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437512621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 9743 (North Carolina) | Primary |
| Provider Name | Coastal Speech Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750782462 PECOS PAC ID: 5092024323 Enrollment ID: O20151027001658 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Kennedy, 124 E Park Dr, Beulaville, NC 28518-6916 Ph: () - | Jennifer Kennedy, 124 E Park Dr, Beulaville, NC 28518-6916 Ph: (888) 258-6905 |
Madison Caldwell Acebo, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 160 N Nc 241 Hwy, Beulaville, NC 28518 Phone: 888-258-6905 | |
Miss Vanessa Pires, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 160 N Nc 241 Hwy, Beulaville, NC 28518 Phone: 888-258-6905 | |
Cynthia J Robinson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 191 North Nc Hwy 41, Beulaville, NC 28518 Phone: 910-298-6207 Fax: 910-298-6293 | |
Emily Hope Hogaboom, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 160 N Nc 241 Hwy, Beulaville, NC 28518 Phone: 888-258-6905 Fax: 888-258-6905 | |
Cheyenne Lee Woods, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 160 N Nc 241 Hwy, Beulaville, NC 28518 Phone: 888-258-6905 Fax: 888-258-6905 | |
Tricia Nicholson Meredith, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 160 N Nc 241 Hwy, Beulaville, NC 28518 Phone: 910-298-2331 | |
Kendra K. Jones, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 191 North Nc Hwy 41, Beulaville, NC 28518 Phone: 910-298-6207 Fax: 910-298-6293 |