Individual provider · Type 1 NPI

Kevin McKinnon

Speech-Language Assistant · San Jose, CA

NPI number 1104762970 Active

Practice location

911 Bern Ct Ste 130
San Jose, CA 95112-1242

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X9292 (CA)

Speech-Language Assistant: Definition to come...

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About NPI 1104762970

Kevin McKinnon's National Provider Identifier is 1104762970, issued on Apr 24, 2026. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in San Jose, CA. The record was last updated on Apr 24, 2026.