Nanette S Kennelly MS CCC-SLP

NPI 1316160914 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1316160914
Gender Female
Enumeration Date 04/11/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1220 MAIN AVE
SUITE 100
FARGO ND, 58103-8201, US
Phone (701) 364-5433
Fax (701) 364-2256
Business Location
PO BOX 746
FARGO ND, 58107-0746, US
Phone (701) 364-5433
Fax (701) 364-2256
Toxanomy
Taxonomy Code 235Z00000X
License State North Dakota
License Number 664
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According to our database, Nanette S Kennelly MS CCC-SLP NPI is 1316160914, taxonomy code is 235Z00000X and license number is 664, license state is located at North Dakota. Nanette S Kennelly MS CCC-SLP physically located at 1220 Main Ave, Fargo ND, 58103-8201. NPI Number Nanette S Kennelly MS CCC-SLP has the Individual type.

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1316160914 NPI number is provided on an as is basis without warranty of any kind. 1316160914 is maintained by the National Plan & Provider Enumeration System. The contents of Nanette S Kennelly MS CCC-SLP are for informational purposes only.