Individual
MS. KENDRA LEONA MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 HERRINGTON DR, UPPER MARLBORO, MD 20774-1545
(301) 808-4060
Mailing address
14201 SCHOOL LN, UPPER MARLBORO, MD 20772-2866
(301) 952-6000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
025382
NY
225X00000X
Occupational Therapist
Primary
09776
MD
225X00000X
Occupational Therapist
122616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
969633146
UNITED HEALTHCARE
NY
Enumeration date
10/06/2015
Last updated
03/29/2023
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