Provider Demographics
NPI:1194882977
Name:KENDALL CENTRAL SCHOOL
Entity type:Organization
Organization Name:KENDALL CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-659-8930
Mailing Address - Street 1:1932 KENDALL ROAD
Mailing Address - Street 2:PO BOX 777
Mailing Address - City:KENDALL
Mailing Address - State:NY
Mailing Address - Zip Code:14476-0777
Mailing Address - Country:US
Mailing Address - Phone:585-659-8930
Mailing Address - Fax:585-659-8939
Practice Address - Street 1:1932 KENDALL ROAD
Practice Address - Street 2:
Practice Address - City:KENDALL
Practice Address - State:NY
Practice Address - Zip Code:14476-0777
Practice Address - Country:US
Practice Address - Phone:585-659-8930
Practice Address - Fax:585-659-8939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377595Medicaid