Provider Demographics
NPI:1922979640
Name:STRAUS, KENDALL (LPN)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:
Last Name:STRAUS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-2189
Mailing Address - Country:US
Mailing Address - Phone:304-435-1308
Mailing Address - Fax:
Practice Address - Street 1:1111 VAN VOORHIS RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-0643
Practice Address - Country:US
Practice Address - Phone:304-598-8900
Practice Address - Fax:304-598-7611
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV41697164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty