Healthcare Provider Details

I. General information

NPI: 1912358276
Provider Name (Legal Business Name): KENDRA LIND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 N 155TH ST STE B
BASEHOR KS
66007-7100
US

IV. Provider business mailing address

3500 SW 10TH AVE
TOPEKA KS
66604-1904
US

V. Phone/Fax

Practice location:
  • Phone: 913-662-7071
  • Fax: 913-662-7072
Mailing address:
  • Phone: 785-272-4060
  • Fax: 785-272-7912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: