Healthcare Provider Details

I. General information

NPI: 1881522936
Provider Name (Legal Business Name): NATASHA JEAN KENDRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 LONE OAK RD
PADUCAH KY
42003-4538
US

IV. Provider business mailing address

1814 CAROLYN DR APT 4
LEXINGTON KY
40502-1043
US

V. Phone/Fax

Practice location:
  • Phone: 270-443-8855
  • Fax:
Mailing address:
  • Phone: 859-629-2025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI14654
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: