Kenyon, Tara
Kenyon, Tara is an sole proprietor health care provider with primary practice located at 5700 W Layton Ave , Greenfield WI 53220-4016. 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, Tara can be contacted via phone (414) 325-4069.Contact Information
Primary practice address
5700 W Layton Ave
Greenfield WI 53220-4016
Phone: (414) 325-4069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3398-154 | Wisconsin |
Profile Details
| NPI number | 1245531532 |
|---|---|
| LBN Legal business name | Kenyon, Tara |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2010 |
| Last updated | Nov 3rd, 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 | 1245531532 | NPPES |
| Wisconsin | MEDICAID | 3398-154 |
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