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NPI Code Detail

MEDICARE: KEENDA BATCHELOR

MEDICARE:   KEENDA  BATCHELOR
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
1104100000XSocial Worker150110525IL

General Provider Information

NPI Number : 1316895121
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEENDA BATCHELOR
Provider Business Mailing Address
First Line : 3324 ORLANDO PL APT B
Second Line :
City : HONOLULU
State : HI
Zip : 96818-4263
Country : US
Telephone Number : 608-343-5729
Fax Number :
Provider Business Practice Location Address
First Line : 2201 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-5863
Country : US
Telephone Number : 817-730-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ KEENDA BATCHELOR ” Practice Location

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