MEDICARE: MS. YUNICK C KENDALL

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
1	347C00000X	Private Vehicle
2	374U00000X	Home Health Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174871826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YUNICK C KENDALL

Provider Business Mailing Address
First Line	:	6706 SIMPSON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-4730
Country	:	US
Telephone Number	:	513-390-8492
Fax Number	:	513-429-4897

Provider Business Practice Location Address
First Line	:	6706 SIMPSON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-4730
Country	:	US
Telephone Number	:	513-390-8492
Fax Number	:	513-429-4897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2012
Last Update Date	:	11/21/2012

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