Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen Rose Kennedy, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1295383883

Kristen Rose Kennedy, MSCCC-SLP is a Speech-Language Pathologist in Dieterich, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2019.

Licensed in
IL, MO
In the registry since
2019
Specialties on file
2

Practice location Address checks out

205 S Roman Dr
Dieterich, IL 62424-1162
Phone: (618) 554-8874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.010301 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2020001372 (MO)

Record details

NPI number1295383883
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023

Other providers in Dieterich