Provider Demographics
NPI:1245123017
Name:HEATH, KENDAISHIA
Entity type:Individual
Prefix:
First Name:KENDAISHIA
Middle Name:
Last Name:HEATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3509 REDICK AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68112-3052
Mailing Address - Country:US
Mailing Address - Phone:531-262-0981
Mailing Address - Fax:531-262-0981
Practice Address - Street 1:3509 REDICK AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68112-3052
Practice Address - Country:US
Practice Address - Phone:531-262-0981
Practice Address - Fax:531-262-0981
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care