MEDICARE: KURTIS MCLENDON

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	172A00000X	Driver	2573275	OH
2	251X00000X	Supports Brokerage Agency	2573275	OH
3	343900000X	Non-emergency Medical Transport (VAN)	2573275	OH
4	3747P1801X	Personal Care Attendant	2573275	OH
5	376J00000X	Homemaker	2573275	OH
6	253Z00000X	In Home Supportive Care Agency	2573275	OH

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265050330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KURTIS MCLENDON

Provider Business Mailing Address
First Line	:	6281 MARSH WREN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-6533
Country	:	US
Telephone Number	:	419-961-5104
Fax Number	:

Provider Business Practice Location Address
First Line	:	6281 MARSH WREN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-6533
Country	:	US
Telephone Number	:	419-961-5104
Fax Number	:

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

Provider Enumeration Date	:	07/06/2020
Last Update Date	:	12/01/2020

Similar Medicare Providers

1235726191 — JOHN A MCLENDON
Practice Location Address:

6281 MARSH WREN DR
COLUMBUS, OH
43230-6533

Practice Phone: 330-354-4531
Practice Fax:

1194314625 — DEVIN JEWELL
Practice Location Address:

6281 MARSH WREN DR
COLUMBUS, OH
43230-6533

Practice Phone: 419-513-9963
Practice Fax:

1033789177 — AGENTIC CLIENT SUPPORT SERVICES LLC
Practice Location Address:

6281 MARSH WREN DR
COLUMBUS, OH
43230-6533

Practice Phone: 614-907-6782
Practice Fax:

1073145439 — JACQUELINE YVONNE KING
Practice Location Address:

3727 SOFT WIND DR
COLUMBUS, OH
43232-6533

Practice Phone: 614-679-6114
Practice Fax:

1891649984 — FATUMA WADESISI
Practice Location Address:

4100 QUENTIN BLVD APT 305
COLUMBUS, OH
43230-8529

Practice Phone: 330-810-1055
Practice Fax:

1538014261 — TINA COLE MSW, LISW-S
Practice Location Address:

381 WOODMARK RUN
COLUMBUS, OH
43230-5029

Practice Phone: 614-477-3323
Practice Fax:

Directions to “ KURTIS MCLENDON ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.