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Active NPI 1477817252 Individual Practitioner Female Practitioner

Kimberly E Kennell , MS, CCC-SLP

Speech-Language Pathologist • Ponte Vedra, FL

Professional Overview & Biography Verified Profile Summary

Kimberly Kennell, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Ponte Vedra, FL. Practice services are available at 95 TAVERNIER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

95 Tavernier Dr

Ponte Vedra, FL 320810676

Telephone 9047296759
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ponte Vedra, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Ponte Vedra, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA12730

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Mallory Abercrombie

Speech-Language Pathologist

NPI 1487364162
Sarah Lively , CCC-SLP

Speech-Language Pathologist

NPI 1740721885

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 24, 2023

Registered at 95 TAVERNIER DR, PONTE VEDRA, FL 320810676 (Tel: 9047296759)

📍
Updated Practice Location December 21, 2021

Registered at 784 BLANDING BLVD STE 108, ORANGE PARK, FL 320657724 (Tel: 9042642636)

📍
Updated Practice Location May 11, 2018

Registered at 2400 S HIGHWAY 27 STE B201, CLERMONT, FL 347116816 (Tel: 3523940212)

👤
Provider Name / Credentials Updated May 11, 2018

Recorded as KIMBERLY KENNELL, MS, CCC-SLP

NPI Profile Active May 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2014

Registered at 1725 HERMITAGE BLVD, TALLAHASSEE, FL 323087709 (Tel: 8503256301)

📍
Updated Business Mailing Address May 20, 2014

Registered at 1756 GREENRIDGE CIR S, JACKSONVILLE, FL 322595222

👤
Provider Name / Credentials Updated May 20, 2014

Recorded as KIMBERLY KENNELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2014

Speech-Language Pathologist (License #SA12730 in FL)

🟢
Initial NPI Registration & Enumeration June 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477817252
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2012
Last Update: February 24, 2023
Sole Proprietor: No

Mailing Address

1756 Greenridge Cir S

Jacksonville, FL 322595222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
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