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NPI Code Detail

MEDICARE: KENNEDY MORGAN EASTERLING

MEDICARE: KENNEDY MORGAN EASTERLING
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 Pathologist300361KY

General Provider Information

NPI Number : 1134053929
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNEDY MORGAN EASTERLING
Provider Business Mailing Address
First Line : 410 JASON DR APT E12
Second Line :
City : RICHMOND
State : KY
Zip : 40475-2779
Country : US
Telephone Number : 859-779-2152
Fax Number :
Provider Business Practice Location Address
First Line : 4603 TIMBERWALK CT
Second Line :
City : LA GRANGE
State : KY
Zip : 40031-6746
Country : US
Telephone Number : 703-575-8129
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ KENNEDY MORGAN EASTERLING ” Practice Location

Language Start Address Practice Location
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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