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NPI Code Detail

MEDICARE: KENNEDY GEORGE

MEDICARE: KENNEDY GEORGE
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 Pathologist

General Provider Information

NPI Number : 1235705088
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNEDY GEORGE
Provider Business Mailing Address
First Line : 313 RIDGEGATE PL
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-1928
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 412 W CLOVERDALE RD
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-4264
Country : US
Telephone Number : 256-259-1505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 06/02/2021

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Directions to “ KENNEDY GEORGE ” 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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