| Kristen Rose Kennedy, MS CCC-SLP | |
|
205 S Roman Dr, Dieterich, IL 62424-1162 | |
| (618) 554-8874 | |
| Not Available |
| Full Name | Kristen Rose Kennedy |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 205 S Roman Dr, Dieterich, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295383883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2020001372 (Missouri) | Secondary |
| 235Z00000X | Speech-language Pathologist | 146.010301 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Rose Kennedy, MS CCC-SLP 205 S Roman Dr, Dieterich, IL 62424-1162 Ph: () - | Kristen Rose Kennedy, MS CCC-SLP 205 S Roman Dr, Dieterich, IL 62424-1162 Ph: (618) 554-8874 |
Debra Kitten, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 205 S Pine St, Dieterich, IL 62424 Phone: 217-925-5248 | |
Julie Marie Loy, M.A. CCC/SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 16442 E 600th Ave, Dieterich, IL 62424 Phone: 314-398-9732 |