Provider Demographics
NPI:1932761616
Name:KENDRICK, UNEKA SHERVON
Entity Type:Individual
Prefix:MS
First Name:UNEKA
Middle Name:SHERVON
Last Name:KENDRICK
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 1:6540 OUTER LOOP STE 1
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-2000
Mailing Address - Country:US
Mailing Address - Phone:502-345-1487
Mailing Address - Fax:
Practice Address - Street 1:5501 RUSTIC WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-4251
Practice Address - Country:US
Practice Address - Phone:502-345-1487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-03
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide