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Deactivated NPI 1811204142 Deactivated / Inactive NPI Female Practitioner

Kim Kennedy , MED CCC SLP

Speech-Language Pathologist • Oklahoma City, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kim Kennedy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 08, 2010
NPI Deactivation Date May 13, 2019
Total Practice Duration ~9 Years of Practice (2010 – 2019)

Professional Overview & Biography Verified Profile Summary

Kim Kennedy, MED CCC SLP was a registered Speech-Language Pathologist practicing in Oklahoma City, OK. Throughout an active medical career spanning 9 years, Kim Kennedy provided care at the practice location at 601 SW 164TH TER until profile deactivation on 2019-05-13.

Practice Location & Contact Primary Location

Practice Address

601 Sw 164th Ter

Oklahoma City, OK 731707712

Telephone 4054646710

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Oklahoma City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
429 Specialists

Practicing in Oklahoma City, OK (2489 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 106249

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 13, 2019

Record deactivated on May 13, 2019

NPI Profile Active September 08, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 08, 2010

Registered at 601 SW 164TH TER, OKLAHOMA CITY, OK 731707712 (Tel: 4054646710)

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Updated Business Mailing Address September 08, 2010

Registered at 601 SW 164TH TER, OKLAHOMA CITY, OK 731707712 (Tel: 4054646710)

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Provider Name / Credentials Updated September 08, 2010

Recorded as KIM KENNEDY, M.ED. CCC SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2010

Speech-Language Pathologist (License #106249 in TX)

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Initial NPI Registration & Enumeration September 08, 2010

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: 1811204142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2010
Last Update: September 08, 2010
Deactivation Date: May 13, 2019

Mailing Address

601 Sw 164th Ter

Oklahoma City, OK 731707712

Phone: 4054646710

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

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