| Kendall Nicole Presley, | |
|
601 N Columbia St, West Frankfort, IL 62896-1859 | |
| (618) 932-2109 | |
| Not Available |
| Full Name | Kendall Nicole Presley |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 601 N Columbia St, West Frankfort, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164173894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242006536 (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Nicole Presley, 601 N Columbia St, West Frankfort, IL 62896-1859 Ph: (618) 932-2109 | Kendall Nicole Presley, 601 N Columbia St, West Frankfort, IL 62896-1859 Ph: (618) 932-2109 |
Mikala Wilder, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 N Cherry St, West Frankfort, IL 62896 Phone: 618-937-1412 Fax: 618-937-4912 | |
Erin Hutchinson, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Sixth St, West Frankfort, IL 62896 Phone: 618-937-2464 Fax: 618-937-2465 |