KRISTOFER M KENDRICK (NPI# 1891055059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891055059 |
| Entity Type | Individual |
| Full Name | KRISTOFER M KENDRICK |
| Credential | PT, DPT, ATC |
| Practice Address |
4101 Tates Creek Centre Dr Ste 144 Lexington KY 40517-3068 |
| Practice Telephone | 8592712887 |
| Practice Fax Number | 8592712889 |
| Mailing Telephone | 8592712887 |
| Mailing Fax Number | 8592712889 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
006434 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY BOARD OF PT | 006434 | 01 |
| Street Address |
4101 TATES CREEK CENTRE DR STE 144 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-3068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174558423 | James Matthew Hall | Physical Therapist | 4101 Tates Creek Centre Dr Ste 144, Lexington, KY 40517-3068 | 2006-07-12 |
| 1780161752 | Allison Randall Keeney | Physical Therapist | 4101 Tates Creek Centre Dr Ste 144, Lexington, KY 40517-3068 | 2018-07-23 |
| 1013353135 | Thomas Ray Walther Jr. | Physical Therapist | 4101 Tates Creek Centre Dr Ste 144, Lexington, KY 40517-3068 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421298 | Whitney Jo Ressett | Physical Therapist | 216 Fountain Ct Ste 201, Lexington, KY 40509-2730 | 2020-09-14 |
| 1962884452 | Jonathan Leigh Breeden | Physical Therapist | 148 Ridge Terrace Ln, Lexington, SC 29073-6878 | 2015-06-22 |
| 1013515212 | Lexington Health Inc | Physical Therapist | 811 W Main St Ste 205, Lexington, SC 29072-2500 | 2020-10-12 |
| 1104346519 | Lindsay Sutera | Physical Therapist | 337 W Church St, Lexington, TN 38351-2096 | 2017-06-27 |
| 1619416559 | Henry Dulin White II | Physical Therapist | 110 Conn Ter, Lexington, KY 40508-3206 | 2017-02-13 |
| 1982065579 | Jennifer Gwen Evans | Physical Therapist | 1900 Richmond Road, Lexington, KY 40502-1204 | 2016-03-10 |
| 1699130583 | Shelley W. Ryan | Physical Therapist | 1900 Richmond Rd, Lexington, KY 40502-1204 | 2015-12-21 |
| 1144685033 | Tia Michelle Roush Caldwell | Physical Therapist | 1900 Richmond Rd, Lexington, KY 40502-1204 | 2015-12-21 |
| 1104298082 | Timothy Keith Cupp | Physical Therapist | 1900 Richmond Rd, Lexington, KY 40502-1204 | 2015-10-30 |
| 1689984072 | Raquel Leilani Nazario | Physical Therapist | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2010-10-19 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on KRISTOFER M KENDRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.