MEDICARE: SARAH KENNEDY

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1326972167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KENNEDY

Provider Business Mailing Address
First Line	:	951 N VULCAN AVE APT A
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-1791
Country	:	US
Telephone Number	:	972-571-7464
Fax Number	:

Provider Business Practice Location Address
First Line	:	1809 S JUNIPER ST
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-6240
Country	:	US
Telephone Number	:	760-432-2462
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 “ SARAH KENNEDY ” Practice Location

Language	Start Address	Practice Location

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