Dominique Kennedy, SLP

NPI 1467705566 · on the registry since 2012

Practice

Address: 805 Glynn St S
Suite 127-193
Fayetteville, GA 30214
Phone: (404) 590-1237
Organisation at this address: The Kroger Co
A Chance To Smile, Llc
Kompass Transit Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia