Healthcare Provider Details

I. General information

NPI: 1386557106
Provider Name (Legal Business Name): KENDALL PAIGE SIMS CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4603 TIMBERWALK CT
LA GRANGE KY
40031-6746
US

IV. Provider business mailing address

1107 AMBLEWOOD CT
INDEPENDENCE KY
41051-8214
US

V. Phone/Fax

Practice location:
  • Phone: 703-864-6695
  • Fax:
Mailing address:
  • Phone: 859-444-2071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number311266
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: