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NPI Code Detail

MEDICARE: KARINE KENNEDY

MEDICARE:   KARINE  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
1235Z00000XSpeech-Language Pathologist27975CA

General Provider Information

NPI Number : 1619800190
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARINE KENNEDY
Provider Business Mailing Address
First Line : 15850 MAIN ST
Second Line :
City : CHINO
State : CA
Zip : 91708-9290
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15850 MAIN ST
Second Line :
City : CHINO
State : CA
Zip : 91708-9290
Country : US
Telephone Number : 909-606-8531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ KARINE KENNEDY ” Practice Location

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