Provider Demographics
NPI:1508394925
Name:DAVIS, KENDRA
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:DAVIS
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 1:3845 CYPRESS CREEK PKWY STE 400A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3531
Mailing Address - Country:US
Mailing Address - Phone:346-837-1384
Mailing Address - Fax:281-657-7898
Practice Address - Street 1:3845 CYPRESS CREEK PKWY STE 400A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3531
Practice Address - Country:US
Practice Address - Phone:346-837-1384
Practice Address - Fax:281-657-7898
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No174400000XOther Service ProvidersSpecialist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter