Provider Demographics
NPI:1760085450
Name:MAY, KENDRA AMBER
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:AMBER
Last Name:MAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 DEMPSEY HOUSING ST
Mailing Address - Street 2:
Mailing Address - City:WARFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:41267-8928
Mailing Address - Country:US
Mailing Address - Phone:606-205-8756
Mailing Address - Fax:
Practice Address - Street 1:154 DEMPSEY HOUSING ST
Practice Address - Street 2:
Practice Address - City:WARFIELD
Practice Address - State:KY
Practice Address - Zip Code:41267-8928
Practice Address - Country:US
Practice Address - Phone:606-205-8756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant