MR. Kenneth John Innocent
NPI #1215635750 in Mount Vernon, New York
Provider Information
- NPI Number
- 1215635750
- Entity Type
- Individual
- Name
- MR. Kenneth John Innocent
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Feb 22, 2023
- Last Updated
- Feb 22, 2023
Practice Location
- Address
- 226 BROOKSIDE AVE
- City
- Mount Vernon
- State
- New York
- ZIP Code
- 10553-1804
- Phone
- (646) 581-0894
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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