Provider Demographics
NPI:1215776489
Name:DENDY, KAYLEE MICHELLE
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:MICHELLE
Last Name:DENDY
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 1:211 STACEY ST
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28090-9488
Mailing Address - Country:US
Mailing Address - Phone:704-300-9479
Mailing Address - Fax:
Practice Address - Street 1:107 W ACADEMY ST
Practice Address - Street 2:
Practice Address - City:CHERRYVILLE
Practice Address - State:NC
Practice Address - Zip Code:28021-3201
Practice Address - Country:US
Practice Address - Phone:704-466-0162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker