Provider Demographics
NPI:1902890551
Name:KENDALL, EFFIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:EFFIE
Middle Name:
Last Name:KENDALL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 41
Mailing Address - Street 2:BOX 6378
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09464
Mailing Address - Country:GB
Mailing Address - Phone:44163-852-3308
Mailing Address - Fax:44163-852-6600
Practice Address - Street 1:UNIT 5210
Practice Address - Street 2:BOX 230
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09661
Practice Address - Country:GB
Practice Address - Phone:44163-852-3308
Practice Address - Fax:44163-852-6600
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-00335174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist