Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENDRA KELLER JACK, OTR/L
Active Sole ProprietorChildren's Rehabilitation Hospital · BATAVIA, OH
Registration Details
- NPI Number
- 1447668009
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2014 (11.751962522179 yrs)
- Last Updated
- Aug 19, 2021
- License
-
056.009954 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2400 CLERMONT CENTER DRBATAVIA, OH, 451031990Browse OH providers · Browse ZIP 45103
- Phone
- 5137358300
- Primary Specialty
-
Children's Rehabilitation Hospital
283XC2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.