Basic Information
| Provider Information | |||||||||
| NPI: | 1598095408 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FELDMAN | ||||||||
| FirstName: | KENDRA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.S. CCC-SLP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | ASHBY | ||||||||
| OtherFirstName: | KENDRA | ||||||||
| OtherMiddleName: | |||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 8540 S. EASTERN AVENUE | ||||||||
| Address2: | SUITE 180 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891232855 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027338255 | ||||||||
| FaxNumber: | 7027378255 | ||||||||
| Practice Location | |||||||||
| Address1: | 8540 S. EASTERN AVENUE | ||||||||
| Address2: | SUITE 180 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891232855 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027338255 | ||||||||
| FaxNumber: | 7027378255 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/29/2009 | ||||||||
| LastUpdateDate: | 12/29/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP1154 | NV | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.