Individual
MRS. KENDRA M ROUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 30TH AVE S, MOORHEAD, MN 56560-5106
(218) 284-3839
Mailing address
1313 30TH AVE S, MOORHEAD, MN 56560-5106
(218) 329-5888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
422850
MN
235Z00000X
Speech-Language Pathologist
942
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51084
—
ND
Enumeration date
01/28/2007
Last updated
05/01/2026
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