Kennedy Individualized Community Services

NPI #1982138061 in Melber, Kentucky

Provider Information

NPI Number: 1982138061
Entity Type: Organization
Organization Name: Kennedy Individualized Community Services
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Apr 17, 2017
Last Updated: Apr 17, 2017

Practice Location

Address: 6337 SHAW RD
City: Melber
State: Kentucky
ZIP Code: 42069-8834
Phone: (270) 674-5654

Authorized Official

Name: GEORGE KENNEDY
Title: EXECUTIVE DIRECTOR
Phone: (270) 674-5654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Day Training, Developmentally Disabled Services	251C00000X	Primary

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