Individual
MS. KENDRA MARIE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
55475 GROSS DR, BEND, OR 97707-2593
(805) 794-6548
Mailing address
55475 GROSS DR, BEND, OR 97707-2593
(805) 794-6548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17832
OR
Other
Enumeration date
10/26/2012
Last updated
08/16/2024
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