Active NPI
Karson Laurel Kennedy, SLP
- Speech-Language Pathologist
- Cherry Hill, NJ
National Provider Identifier
1255898896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- O4-0000605
- Practice address
- 325 Route 70 E
Cherry Hill, NJ 08034-2408 - Phone
- (856) 309-8508
- Fax
- (856) 309-8508
- NPI assigned
- Mar 1, 2019
- Last updated
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | O4-0000605 | DE | Primary |
Addresses
Primary practice location
325 Route 70 E
Cherry Hill, NJ 08034-2408
Mailing address
PO Box 191
Rockland, DE 19732-0191
Other practice location 1
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4000
Other practice location 2
1280 Almonesson Rd
Deptford, NJ 08096-5502
Phone (856) 345-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O4-0000605 | DE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1255898896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 ROUTE 70 E",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342408",
"telephone_number": "856-309-8508",
"fax_number": "856-309-8508"
}
],
"practiceLocations": [
{
"address_1": "1600 Rockland Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198033607",
"country_code": "US",
"telephone_number": "302-651-4000",
"fax_number": "302-651-5612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1280 Almonesson Rd",
"address_purpose": "LOCATION",
"city": "Deptford",
"state": "NJ",
"postal_code": "080965502",
"country_code": "US",
"telephone_number": "856-345-1401",
"fax_number": "856-805-9370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "KARSON",
"middle_name": "LAUREL",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-01",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DE",
"license": "O4-0000605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
- Kennedy Medical Group Practice, P.C.
- Kennedy Medical Group Practice, P.C. (Kennedy Health Alliance)
- Kennedy Memorial Hospital
- Kennedy Memorial Hospital
- Kennedy Memorial Hospitals-University Medical Center
- Rachelle M Kennedy, OT
- Kenneth Kent, D.M.D.
- Kimberly A Kenworthy, PT
- Michael B. Kerner, D.O.
- Juliette Kersaint, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.