Kelly Renee Kennedy

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

720 N Noyes Blvd
Saint Joseph, MO 64506-2813

Phone

(816) 671-4050

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1841818051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 WESTLINE INDUSTRIAL DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463209",
            "telephone_number": "314-439-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N NOYES BLVD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062813",
            "telephone_number": "816-671-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KELLY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Marie Keesaman, PA-C
• Hollie Keith, PT
• Agnes M Kelly, ATC
• Linda Marie Kemper, MS SLP CFY
• Derek M Kendall, DPT
• Kerns Family Health Care LLC
• Danyelle Dawn Kerns, NP-C
• Emad A Khan, MD
• Rintu Intekhab Khan, MD
• Ruth A Kiekhaefer, PNP

• Speech-Language Assistant in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Speech-Language Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.