Kenyon, Jacqueline Kay
Kenyon, Jacqueline Kay is an sole proprietor health care provider with primary practice located at 3555 E Fry Blvd , Sierra Vista AZ 85635-2972. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kenyon, Jacqueline Kay can be contacted via phone (520) 515-2790.Contact Information
Primary practice address
3555 E Fry Blvd
Sierra Vista AZ 85635-2972
Phone: (520) 515-2790
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6951 | Arizona |
Profile Details
| NPI number | 1437452000 |
|---|---|
| LBN Legal business name | Kenyon, Jacqueline Kay |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2010 |
| Last updated | Dec 21st, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437452000 | NPPES |
| Arizona | MEDICAID | #SLP6951 |
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