Provider Demographics
NPI:1700954013
Name:KUYKENDAL, KATHRYN R (LPCC MSN)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:R
Last Name:KUYKENDAL
Suffix:
Gender:F
Credentials:LPCC MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 DELTA AVENUE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45226
Mailing Address - Country:US
Mailing Address - Phone:513-321-9902
Mailing Address - Fax:513-533-8851
Practice Address - Street 1:820 DELTA AVENUE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45226
Practice Address - Country:US
Practice Address - Phone:513-321-9902
Practice Address - Fax:513-533-8851
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0000245101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor