Kimberly E Kennell, MS, CCC-SLP | |
95 Tavernier Dr, Ponte Vedra, FL 32081-0676 | |
(904) 729-6759 | |
Not Available |
Full Name | Kimberly E Kennell |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 95 Tavernier Dr, Ponte Vedra, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477817252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SA12730 (Florida) | Primary |
Provider Name | Central Florida Dreamplex Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215017512 PECOS PAC ID: 0840520193 Enrollment ID: O20190930001057 |
Mailing Address | Practice Location Address |
---|---|
Kimberly E Kennell, MS, CCC-SLP 1756 Greenridge Cir S, Jacksonville, FL 32259-5222 Ph: () - | Kimberly E Kennell, MS, CCC-SLP 95 Tavernier Dr, Ponte Vedra, FL 32081-0676 Ph: (904) 729-6759 |
Atlantic Speech Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 145 Hilden Road #113, Ponte Vedra, FL 32081 Phone: 904-652-5408 Fax: 877-652-5052 | |
Mrs. Alicia Ana Otero, MA; CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30 Tavernier Dr Unit B, Ponte Vedra, FL 32081 Phone: 904-404-2345 Fax: 904-789-6295 | |
Ponte Vedra Speech Language And Learning Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 171 Summer Mesa Ave, Ponte Vedra, FL 32081 Phone: 904-404-2345 | |
Kelly Gatch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 90 Fort Wade Rd, Suite 100 #1017, Ponte Vedra, FL 32081 Phone: 904-834-9796 | |
Ms. Sonya Marie Olsen, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 171 Summer Mesa Ave, Ponte Vedra, FL 32081 Phone: 904-844-3136 | |
Ms. Lauren M Collins, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 228 Ponte Vedra Park Dr, Suite 800, Ponte Vedra, FL 32082 Phone: 904-280-0081 Fax: 904-280-7680 | |
Ally Helsel Junot, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 388 Mahi Dr, Ponte Vedra, FL 32081 Phone: 813-777-8075 |