Provider Demographics
NPI:1356029060
Name:FRANCIS-HAMPDEN, KEDRA KEDIAN
Entity type:Individual
Prefix:
First Name:KEDRA
Middle Name:KEDIAN
Last Name:FRANCIS-HAMPDEN
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 1:11639 227TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1716
Mailing Address - Country:US
Mailing Address - Phone:908-705-2635
Mailing Address - Fax:
Practice Address - Street 1:121 CEDAR LN STE 102
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4457
Practice Address - Country:US
Practice Address - Phone:201-740-4994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical