Healthcare Provider Details

I. General information

NPI: 1306779442
Provider Name (Legal Business Name): KENDALL FECHER MA, SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 W 8TH ST
CARROLL IA
51401-2325
US

IV. Provider business mailing address

984 180TH ST
JEFFERSON IA
50129-7017
US

V. Phone/Fax

Practice location:
  • Phone: 712-830-6303
  • Fax: 712-340-1516
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number139259
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: