Provider Demographics
NPI:1649566852
Name:APEL, KENNETH (CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:
Last Name:APEL
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:DR
Other - First Name:KENN
Other - Middle Name:
Other - Last Name:APEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:127 HONORS WAY
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32306-1200
Mailing Address - Country:US
Mailing Address - Phone:850-644-2238
Mailing Address - Fax:
Practice Address - Street 1:127 HONORS WAY
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32306-1200
Practice Address - Country:US
Practice Address - Phone:850-644-2238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 8213235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist