Healthcare Provider Details

I. General information

NPI: 1699431221
Provider Name (Legal Business Name): KENDALL PURINTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2021
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 30TH AVE S
MOORHEAD MN
56560-5106
US

IV. Provider business mailing address

2026 63RD AVE S
FARGO ND
58104-5941
US

V. Phone/Fax

Practice location:
  • Phone: 218-284-3300
  • Fax:
Mailing address:
  • Phone: 402-269-0282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1043622
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2541
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: