Provider Demographics
NPI:1972595627
Name:KENDRICK, KAREN KAY (OT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:KAY
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:KAY
Other - Last Name:RASMUSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:610 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-3601
Mailing Address - Country:US
Mailing Address - Phone:316-440-1600
Mailing Address - Fax:316-267-9034
Practice Address - Street 1:610 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3601
Practice Address - Country:US
Practice Address - Phone:316-440-1600
Practice Address - Fax:316-267-9034
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1702007225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist