Healthcare Provider Details

I. General information

NPI: 1225975584
Provider Name (Legal Business Name): KENDRICK MASON PRODUCTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 W 8TH AVE APT 20
SPOKANE WA
99204-2427
US

IV. Provider business mailing address

206 W 8TH AVE APT 20
SPOKANE WA
99204-2427
US

V. Phone/Fax

Practice location:
  • Phone: 901-930-5571
  • Fax:
Mailing address:
  • Phone: 901-930-5571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: KENDRICK ODELL MASON
Title or Position: CEO
Credential:
Phone: 901-930-5571