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NPI Code Detail

MEDICARE: KENNEDY LEMIEUX

MEDICARE: KENNEDY LEMIEUX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist11766FL

General Provider Information

NPI Number : 1225819824
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNEDY LEMIEUX
Provider Business Mailing Address
First Line : 3602 W SAN JUAN ST
Second Line :
City : TAMPA
State : FL
Zip : 33629-6922
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3602 W SAN JUAN ST
Second Line :
City : TAMPA
State : FL
Zip : 33629-6922
Country : US
Telephone Number : 813-833-0090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2023
Last Update Date : 10/10/2023

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Directions to “ KENNEDY LEMIEUX ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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