Provider Demographics
NPI:1306156740
Name:LEMONS, KENDRA JULIE DENEE (B S)
Entity type:Individual
Prefix:MISS
First Name:KENDRA
Middle Name:JULIE DENEE
Last Name:LEMONS
Suffix:
Gender:F
Credentials:B S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 VEYDA ST
Mailing Address - Street 2:
Mailing Address - City:PRYOR
Mailing Address - State:OK
Mailing Address - Zip Code:74361-8017
Mailing Address - Country:US
Mailing Address - Phone:918-864-1322
Mailing Address - Fax:
Practice Address - Street 1:3100 S ELM PL
Practice Address - Street 2:SUITE B
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7950
Practice Address - Country:US
Practice Address - Phone:918-476-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor