Provider Demographics
NPI:1477320075
Name:KINARD CENTER FOR COMMUNICATION DEVELOPMENT, LLC
Entity type:Organization
Organization Name:KINARD CENTER FOR COMMUNICATION DEVELOPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & SLP
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KINARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD CCC-SLP
Authorized Official - Phone:704-578-5601
Mailing Address - Street 1:5019 SEARS FARM RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8899
Mailing Address - Country:US
Mailing Address - Phone:704-578-5601
Mailing Address - Fax:
Practice Address - Street 1:5019 SEARS FARM RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8899
Practice Address - Country:US
Practice Address - Phone:704-578-5601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities