Provider Demographics
NPI:1780439661
Name:KENNELL, JHAY-LAH K
Entity type:Individual
Prefix:
First Name:JHAY-LAH
Middle Name:K
Last Name:KENNELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1456 VILLA RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6557
Mailing Address - Country:US
Mailing Address - Phone:810-599-4538
Mailing Address - Fax:
Practice Address - Street 1:36358 GARFIELD RD STE 2
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48035-1152
Practice Address - Country:US
Practice Address - Phone:586-221-0705
Practice Address - Fax:833-427-1163
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist