Provider Demographics
NPI:1134646847
Name:WOOD, KENDALL BARKBY
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:BARKBY
Last Name:WOOD
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 1:6407 CHATTANOOGA DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-5909
Mailing Address - Country:US
Mailing Address - Phone:661-858-6348
Mailing Address - Fax:
Practice Address - Street 1:5001 CALIFORNIA AVE STE 218
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0733
Practice Address - Country:US
Practice Address - Phone:661-836-9371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1176821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical