Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAUN KIRKENDOLL
Active Sole ProprietorSHAUN KIRKENDOLL is a Psychiatric Residential Treatment Facility healthcare provider located in GARY, Indiana. NPI 1710396445 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · GARY, IN
Registration Details
- NPI Number
- 1710396445
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2014 (11.837590301504 yrs)
- Last Updated
- Aug 6, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 W 6TH AVEGARY, IN, 464021711Browse IN providers · Browse ZIP 46402
- Phone
- 2198854264
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Other Psychiatric Residential Treatment Facility Providers in GARY, IN
| Name | Credential | NPI |
|---|---|---|
| JOHN MOORE | RES CO-ORD OBPH | 1356758866 |
| TRAVIEETTA WOODLEY | — | 1427467323 |
| YVONNE WILLIAMS | — | 1841609641 |
| PERLEAN FIZER | — | 1255740957 |
| PEARLIE STURDIVANT I | — | 1093124802 |
| MARY DAVIS | — | 1245649979 |
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.