MEDICARE: CHARLES 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		WI

General Provider Information

NPI Number	:	1730017294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES KENNEDY

Provider Business Mailing Address
First Line	:	415 SEYMOUR ST
Second Line	:
City	:	WAUSAU
State	:	WI
Zip	:	54403-6267
Country	:	US
Telephone Number	:	715-261-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 SEYMOUR ST
Second Line	:
City	:	WAUSAU
State	:	WI
Zip	:	54403-6267
Country	:	US
Telephone Number	:	715-261-0500
Fax Number	:

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

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

Similar Medicare Providers

1164350815 — CHRISTA SAVAGE SLP
Practice Location Address:

415 SEYMOUR ST
WAUSAU, WI
54403-6267

Practice Phone: 175-261-0500
Practice Fax:

1467625996 — WAUSAU SCHOOL DISTRICT
Practice Location Address:

415 SEYMOUR ST
WAUSAU, WI
54403-6267

Practice Phone: 715-261-0532
Practice Fax:

1871306886 — JAKSON HENRY MEYER ATC
Practice Location Address:

3340 N 13TH ST
WAUSAU, WI
54403-2318

Practice Phone: 715-680-6048
Practice Fax:

1154259885 — EMILEE MOOTZ RN, BSN
Practice Location Address:

2607 N 18TH ST
WAUSAU, WI
54403-3176

Practice Phone: 715-261-0713
Practice Fax:

1679401301 — EMMA JANKE BUCKLI RN
Practice Location Address:

3101 N 13TH ST
WAUSAU, WI
54403-2317

Practice Phone: 715-261-0750
Practice Fax:

1265360929 — MORGAN PERSHA
Practice Location Address:

4303 TROY ST
WAUSAU, WI
54403-2264

Practice Phone: 715-261-0030
Practice Fax:

Directions to “ CHARLES KENNEDY ” 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.