IndividualActive
Carol Kenny, MS, CCC-SLP
NPI 1053798074 · Speech-Language Pathologist · Anna, IL
Provider details
- NPI number
- 1053798074
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 146.006539 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
792 N Main St
Anna, IL 62906-1627
Phone: (618) 833-5001
Fax: (618) 833-5001
Approximate (ZIP-level) locationGet directions
Mailing address
792 N Main St
Anna, IL 62906-1627
Registry dates
- Enumerated
- 2015-04-28
- Last updated
- 2015-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.