MEDICARE: KENDRICK HANDY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1639947724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRICK HANDY

Provider Business Mailing Address
First Line	:	3910 PECOS MCLEOD STE A100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7441
Country	:	US
Telephone Number	:	702-219-9077
Fax Number	:

Provider Business Practice Location Address
First Line	:	3910 PECOS MCLEOD STE A100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7441
Country	:	US
Telephone Number	:	702-219-9077
Fax Number	:	702-623-0025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	12/18/2023

Similar Medicare Providers

1699557926 — AHMID SMITH
Practice Location Address:

3910 PECOS MCLEOD STE A100
LAS VEGAS, NV
89121-7441

Practice Phone: 702-612-7486
Practice Fax:

1497528855 — FAMILY EMPOWEEMENT ACADEMY OF NEVADA
Practice Location Address:

3910 PECOS MCLEOD STE A100
LAS VEGAS, NV
89121-7441

Practice Phone: 702-612-7486
Practice Fax:

1275629859 — LOUIS EDWARD LAMANCUSA MD
Practice Location Address:

7441 LAKE MEAD #159
LAS VEGAS, NV
98128

Practice Phone: 702-461-6046
Practice Fax: 702-870-3997

1881961977 — SHERMAN DIALYSIS LLC
Practice Location Address:

3291 N BUFFALO DR BLDG A , SUITE 150
LAS VEGAS, NV
89129-7441

Practice Phone: 702-396-1045
Practice Fax: 702-396-1530

1629641444 — TARA MONIQUE WILSON
Practice Location Address:

1055 E FLAMINGO RD
LAS VEGAS, NV
89119-7441

Practice Phone: 702-955-0267
Practice Fax:

1053034884 — HANA THOMPSON
Practice Location Address:

1055 E FLAMINGO RD
LAS VEGAS, NV
89119-7441

Practice Phone: 702-955-0267
Practice Fax:

Directions to “ KENDRICK HANDY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.