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NPI Code Detail

MEDICARE: KRISTYN KENDRICK

MEDICARE: KRISTYN KENDRICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP008908GA
2235Z00000XSpeech-Language PathologistSA14439FL

General Provider Information

NPI Number : 1164803755
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTYN KENDRICK
Provider Business Mailing Address
First Line : 3061 PABLO BAY CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-1819
Country : US
Telephone Number : 904-537-1659
Fax Number :
Provider Business Practice Location Address
First Line : 11512 LAKE MEAD AVE UNIT 604
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-9686
Country : US
Telephone Number : 904-537-1659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2015
Last Update Date : 06/02/2016

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Directions to “ KRISTYN KENDRICK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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