Provider Demographics
NPI:1982857751
Name:YATES, KENDALL SPALDING (CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:KENDALL
Middle Name:SPALDING
Last Name:YATES
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 FALCON CRST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-9450
Mailing Address - Country:US
Mailing Address - Phone:859-229-6710
Mailing Address - Fax:
Practice Address - Street 1:139 FALCON CRST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-9450
Practice Address - Country:US
Practice Address - Phone:859-229-6710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY141848235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist