Provider Demographics
NPI:1396610358
Name:SENTELIK, KENDRA
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:SENTELIK
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 1:536 W MERRIN ST
Mailing Address - Street 2:
Mailing Address - City:PAYNE
Mailing Address - State:OH
Mailing Address - Zip Code:45880-9473
Mailing Address - Country:US
Mailing Address - Phone:330-573-3484
Mailing Address - Fax:
Practice Address - Street 1:536 W MERRIN ST
Practice Address - Street 2:
Practice Address - City:PAYNE
Practice Address - State:OH
Practice Address - Zip Code:45880-9473
Practice Address - Country:US
Practice Address - Phone:330-573-3484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty