National Provider Identifier

Kendra Traver

Kendra Traver is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Youngstown, NY and a listed phone number of (716) 799-3188.

NPI 1285451930Youngstown, NYEarly Intervention Provider Agency

Profile Overview

NPI
1285451930
Provider Type
Individual
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
September 24, 2024
Last Updated
September 24, 2024

Practice Location

  • 407 Brookshire RD
  • Youngstown, NY 14174-1167

Phone: (716) 799-3188

Specialties

  • Early Intervention Provider Agency (252Y00000X)
Full Record
NPI
1285451930
Entity Type
Individual
Last Name
Traver
First Name
Kendra
Mailing Street Address
407 Brookshire RD
Mailing City
Youngstown
Mailing State
NY
Mailing ZIP Code
14174-1167
Mailing Country
US
Practice Street Address
407 Brookshire RD
Practice City
Youngstown
Practice State
NY
Practice ZIP Code
14174-1167
Practice Country
US
Practice Phone
(716) 799-3188
Enumeration Date
September 24, 2024
Last Updated
September 24, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
September 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Early Intervention Provider Agency (252Y00000X)