Provider Demographics
NPI:1982576898
Name:HELD, KENDALL LYNN (MS)
Entity type:Individual
Prefix:
First Name:KENDALL
Middle Name:LYNN
Last Name:HELD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N2721 HILL RD
Mailing Address - Street 2:
Mailing Address - City:ANTIGO
Mailing Address - State:WI
Mailing Address - Zip Code:54409-8976
Mailing Address - Country:US
Mailing Address - Phone:715-219-4848
Mailing Address - Fax:
Practice Address - Street 1:211 STATE HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:ANTIGO
Practice Address - State:WI
Practice Address - Zip Code:54409-9416
Practice Address - Country:US
Practice Address - Phone:715-219-4848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIBACB605786106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician