Provider Demographics
NPI:1285153106
Name:HOOKS, KENDERIC (RRT, RPSGT)
Entity type:Individual
Prefix:
First Name:KENDERIC
Middle Name:
Last Name:HOOKS
Suffix:
Gender:M
Credentials:RRT, RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 NORTH MAIN ST STE 500
Mailing Address - Street 2:PMB 104
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601
Mailing Address - Country:US
Mailing Address - Phone:864-315-0928
Mailing Address - Fax:864-752-6495
Practice Address - Street 1:220 N MAIN ST STE 500
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-2129
Practice Address - Country:US
Practice Address - Phone:864-315-0928
Practice Address - Fax:864-752-6495
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2018-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC139517227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered