Individual
KENDRA KORTOKRAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1104 WESLEY AVE, BRYAN, OH 43506-2579
(419) 636-5071
Mailing address
PO BOX 59, KALIDA, OH 45853-0059
(419) 302-1318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20191007-SP
OH
Other
Enumeration date
05/21/2019
Last updated
10/16/2022
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