MEDICARE: KENNEDY OGLE

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1689041402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNEDY OGLE

Provider Business Mailing Address
First Line	:	1443 W 800 N STE 103
Second Line	:
City	:	OREM
State	:	UT
Zip	:	84057-2878
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3032 SILVER SAGE DR STE 102
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-6097
Country	:	US
Telephone Number	:	775-883-6060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2015
Last Update Date	:	08/27/2015

Similar Medicare Providers

1194192914 — MIRYAH HOWLETT
Practice Location Address:

3032 SILVER SAGE DR STE 102
CARSON CITY, NV
89701-6097

Practice Phone: 775-883-6060
Practice Fax:

1578931788 — ANDREA RODRIGUEZ
Practice Location Address:

3032 SILVER SAGE DR STE 102
CARSON CITY, NV
89701-6097

Practice Phone: 775-883-6060
Practice Fax:

1821445693 — DANIELLE MILLS
Practice Location Address:

3032 SILVER SAGE DR STE 102
CARSON CITY, NV
89701-6097

Practice Phone: 775-883-6060
Practice Fax:

1659678266 — MS. KELLY RAE LESLEY M.S.
Practice Location Address:

62 WHIPPOORWILL RD
PONCA CITY, OK
74604-6097

Practice Phone: 580-716-9335
Practice Fax:

1639544703 — DEBORAH LYNN BORDEN KARASACK BCBA
Practice Location Address:

6031 UNIVERSITY BLVD , STE. 300
ELLICOTT CITY, MD
21043-6097

Practice Phone: 888-344-5977
Practice Fax:

1841878253 — HANNAH HILL LMSW, LCSW
Practice Location Address:

6097 3 MILE RD
BAY CITY, MI
48706-9043

Practice Phone: 989-906-5265
Practice Fax:

Directions to “ KENNEDY OGLE ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.