Brittany M Kennedy, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.002803 Issued in IL

Practice address

5409 N Knoxville Ave
Peoria, IL 61614-5069

Phone

(309) 691-1040

Fax

(309) 683-6140

NPI assigned

Sep 30, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1174950653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NE MADISON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021109",
            "telephone_number": "309-674-7874",
            "fax_number": "309-674-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145069",
            "telephone_number": "309-691-1040",
            "fax_number": "309-683-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "BRITTANY",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.002803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Owen Kemp, M.D.
• Edith Joy Kemp, MS RD LD
• Rachel Kempisty
• Ken Hodel M D Gynonc S C
• Harleena K Kendhari, M.D.
• Leandre Kennedy, DPM
• Valerie Gail Kennedy, OTR/L
• Kelly Ann Kennell, M.D.
• Kenneth D. Meiss D.M.D. LTD.
• James Nicholas Kenny Jr., M.D.

• Speech-Language Pathologist in Peoria, IL
• Providers in Peoria, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.