MEDICARE: KENDALLE TAYLOR HOLLOWAY

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	2355S0801X	Speech-Language Assistant	SLPA16836	AZ

General Provider Information

NPI Number	:	1639020258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDALLE TAYLOR HOLLOWAY

Provider Business Mailing Address
First Line	:	7923 S 25TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-7667
Country	:	US
Telephone Number	:	602-373-3196
Fax Number	:

Provider Business Practice Location Address
First Line	:	7923 S 25TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-7667
Country	:	US
Telephone Number	:	602-373-3196
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

Similar Medicare Providers

1447249685 — DR. SANDRA H RITTER PH.D., LPC, LCMHC
Practice Location Address:

4411 E CHANDLER BLVD APT 1128
PHOENIX, AZ
85048-7667

Practice Phone: 704-496-3651
Practice Fax: 928-438-0107

1083863526 — TURNING POINT BATTERED WOMEN'S SHELTER, INC.
Practice Location Address:

202 EAST GWEN STREET
PHOENIX, AZ
85042-7667

Practice Phone: 602-286-6154
Practice Fax: 602-230-1991

1487248845 — ICARE HEALTH SERVICES LLC
Practice Location Address:

3006 W DONNER DR
PHOENIX, AZ
85041-6345

Practice Phone: 202-717-2541
Practice Fax:

1255283016 — LILIANE S AUGUSTINE FNP
Practice Location Address:

4105 W SAINT CHARLES AVE
PHOENIX, AZ
85041-4980

Practice Phone: 480-228-1228
Practice Fax:

1952858508 — EVANGELINA VALDIVIA
Practice Location Address:

6500 S 35TH AVE APT 28
PHOENIX, AZ
85041-5058

Practice Phone: 602-326-2063
Practice Fax:

1477533610 — MARYAM H LATEEF MHNP
Practice Location Address:

8613 S 7TH DR
PHOENIX, AZ
85041-8311

Practice Phone: 480-835-2371
Practice Fax: 623-847-4047

Directions to “ KENDALLE TAYLOR HOLLOWAY ” 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.