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KRISTEN ROSE KENNEDY M.S. CCC-SLP
NPI 1295383883
Speech-Language Pathologist in Dieterich, IL

Active since August 28, 2019
205 S ROMAN DR, DIETERICH, IL 62424(618) 554-8874 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Aug 28, 2019 (2 updates tracked since 2019).

About Kristen Rose Kennedy M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN ROSE KENNEDY M.S. CCC-SLP (NPI 1295383883) is an individual speech-language pathologist provider in Dieterich, Illinois, licensed in Illinois (146.010301) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1295383883
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKRISTEN ROSE KENNEDYCredential: M.S. CCC-SLP
Location Address205 S ROMAN DRDieterich, IL 62424-1162
Mailing Address205 S Roman DrDieterich, IL 62424-1162
Phone(618) 554-8874
Sole ProprietorNo
Enumeration DateAugust 28, 2019
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1295383883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in IL · 146.010301✔ Licensed in MO · 2020001372
Definition
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.
205 S ROMAN DR, Dieterich, IL 62424
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Kennedy's NPI number?

The NPI number for Kristen Kennedy is 1295383883. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Kristen Kennedy located?

Kristen Kennedy practices at 205 S Roman Dr, Dieterich, IL 62424. The listed phone number is (618) 554-8874.

What is Kristen Kennedy's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kristen Kennedy was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.