Active NPIIndividual providerSole proprietor

Mr. Kenneth J Innocent

Speech-Language Pathologist, in Mount Vernon, New York

NPI Number1215635750
Practice location
226 Brookside Ave, Mount Vernon, NY 10553-1804
Fax
—
Last updated
February 22, 2023

Kenneth John Innocent is a Speech-Language Pathologist, based in Mount Vernon, NY. Kenneth John Innocent practices in Mount Vernon, NY. The NPI Number for Kenneth John Innocent is 1215635750 and holds a License No. 032730-01 (NY). The current practice location address for Kenneth John Innocent is 226 Brookside Ave, Mount Vernon, NY 10553-1804 and can be reached out via phone at 646-581-0894.

Provider Profile Details

NPI Number
1215635750
Provider Name
Kenneth John Innocent
Provider Entity Type
Individual
Gender
Male
Address
226 Brookside Ave, Mount Vernon, NY 10553-1804
Phone Number
646-581-0894
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2023
Last Update Date
February 22, 2023
Certification Date
February 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
226 Brookside Ave
Mount Vernon, NY 10553-1804
Zip
10553-1804
Phone Number
646-581-0894
Mount Vernon, NY 10553Get directions →

Provider Business Mailing Address Details

Address
226 Brookside Ave
Mount Vernon, NY 10553-1804
City
Mount Vernon
State
NY
Zip
10553-1804
Phone Number
646-581-0894

License Information

License Number
032730-01
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kenneth J Innocent?

The NPI number of Mr. Kenneth J Innocent is 1215635750. It was assigned on February 22, 2023 and is currently active in the NPPES registry.

What is the specialty of Mr. Kenneth J Innocent?

Mr. Kenneth J Innocent is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 032730-01.

Where does Mr. Kenneth J Innocent practice?

The practice location is 226 Brookside Ave, Mount Vernon, NY 10553-1804. The office can be reached at 646-581-0894 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215635750 directly on the NPPES registry website.

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