Michael Kenney, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

853 Issued in NM

Practice address

21001 Wyoming Blvd SE # Kafbe
Sandia Base Es
Albuquerque, NM 87116-1151

Phone

(505) 268-4356

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679612535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 WYOMING BLVD SE # KAFBE",
            "address_2": "SANDIA BASE ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871161151",
            "telephone_number": "505-268-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 WYOMING BLVD SE # KAFBE",
            "address_2": "SANDIA BASE ES",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871161151",
            "telephone_number": "505-268-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "MICHAEL",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H 2288",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Dawn Kennedy
• Wren T Kennedy, RN/NP
• Kenneth H Bull MD PA
• Kenneth P. Adams, D.O.,P.C
• Kenneth P. Goldblum, M.D., LTD.
• Karen Kennicott, MD
• Kent Schauer OD PC
• Alex Kent, LMHC
• Caroline Elizabeth Kent, GED
• Martha J Kent, MD

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.