Individual
KENDALL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4062 SUMMERHILL SQ, TEXARKANA, TX 75503-2730
(903) 908-3839
Mailing address
3636 STONE LEDGE DR, APT 1322, TEXARKANA, TX 75503
(832) 334-6569
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40518
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40158
SLP- ASSITANT
TX
Enumeration date
02/27/2018
Last updated
02/27/2018
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