Provider Demographics
NPI:1720428493
Name:BAILY, KENDRA (AUD)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:BAILY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:
Other - Last Name:NEUGEBAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 W 4TH ST STE 8
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-3700
Mailing Address - Country:US
Mailing Address - Phone:605-655-1220
Mailing Address - Fax:
Practice Address - Street 1:409 SUMMIT ST STE 2800
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-3735
Practice Address - Country:US
Practice Address - Phone:605-655-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist