Provider Demographics
NPI:1659183325
Name:BEN, KENDRA JANEL
Entity type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:JANEL
Last Name:BEN
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:PO BOX 420652
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-0652
Mailing Address - Country:US
Mailing Address - Phone:713-930-5284
Mailing Address - Fax:
Practice Address - Street 1:1306 REDBUD LN
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-1136
Practice Address - Country:US
Practice Address - Phone:281-827-5154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy