Healthcare Provider Details

I. General information

NPI: 1437006830
Provider Name (Legal Business Name): KENSLEY SIERRA LEDFORD MS SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 DR CALVIN JONES HWY STE 212
WAKE FOREST NC
27587-3106
US

IV. Provider business mailing address

1833 OAKMONT DR
DENVER NC
28037-7596
US

V. Phone/Fax

Practice location:
  • Phone: 919-219-5277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30004950
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: