Provider Demographics
NPI:1972275410
Name:FRENCH, KENDALL M (MSCCCSLP)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:M
Last Name:FRENCH
Suffix:
Gender:F
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3890 STATE ROUTE 1176
Mailing Address - Street 2:
Mailing Address - City:MORGANFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42437-7169
Mailing Address - Country:US
Mailing Address - Phone:270-952-3623
Mailing Address - Fax:
Practice Address - Street 1:2003 STAPP DR UNIT C
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-1601
Practice Address - Country:US
Practice Address - Phone:270-827-4857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY173772235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist