Mclendon, Kurtis
Mclendon, Kurtis is an sole proprietor health care provider with primary practice located at 6281 Marsh Wren Dr , Columbus OH 43230-6533. He recently has 6 registered licenses in different health care specialties including Other Service Providers / Driver, Agencies / Supports Brokerage, Transportation Services / Non-emergency Medical Transport (VAN), Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is his primary health care specialty. Mclendon, Kurtis can be contacted via phone (419) 961-5104.Contact Information
Primary practice address
6281 Marsh Wren Dr
Columbus OH 43230-6533
Phone: (419) 961-5104
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X | 2573275 | Ohio |
Agencies / Supports Brokerage | 251X00000X | 2573275 | Ohio |
Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 2573275 | Ohio |
Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 2573275 | Ohio |
Nursing Service Related Providers / Homemaker | 376J00000X | 2573275 | Ohio |
Agencies / In Home Supportive Care | 253Z00000X | 2573275 | Ohio |
Profile Details
NPI number | 1265050330 |
---|---|
LBN Legal business name | Mclendon, Kurtis |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 6th, 2020 |
Last updated | Dec 1st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265050330 | NPPES |
Ohio | MEDICAID | 2573275 | |
Ohio | MEDICAID | 0312797 |
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