Individual
KURTIS MCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6281 MARSH WREN DR, COLUMBUS, OH 43230-6533
(419) 961-5104
Mailing address
6281 MARSH WREN DR, COLUMBUS, OH 43230-6533
(419) 961-5104
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
2573275
OH
251X00000X
Supports Brokerage Agency
2573275
OH
253Z00000X
In Home Supportive Care Agency
Primary
2573275
OH
343900000X
Non-emergency Medical Transport (VAN)
2573275
OH
3747P1801X
Personal Care Attendant
2573275
OH
376J00000X
Homemaker
2573275
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312797
—
OH
05
—
2573275
—
OH
Enumeration date
07/06/2020
Last updated
12/01/2020
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