Provider Demographics
NPI:1376030932
Name:DENSON, KENDALL DERAN (N/A)
Entity type:Individual
Prefix:MR
First Name:KENDALL
Middle Name:DERAN
Last Name:DENSON
Suffix:
Gender:M
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 SAWDUST RD
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2242
Mailing Address - Country:US
Mailing Address - Phone:832-819-8249
Mailing Address - Fax:832-460-3030
Practice Address - Street 1:395 SAWDUST RD
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2242
Practice Address - Country:US
Practice Address - Phone:832-819-8249
Practice Address - Fax:832-460-3030
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health