Individual
KENDALL MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 COMMONWEALTH CT STE B, LOUISVILLE, KY 40299-2355
(502) 458-9978
Mailing address
1901 COMMONWEALTH CT STE B, LOUISVILLE, KY 40299-2355
(502) 458-9978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
267546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M12-283-706
DRIVERS LICENSE
KY
Enumeration date
01/05/2021
Last updated
01/05/2021
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