Kendra McKean, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056010626 Issued in IL

Practice address

509 S Buck Rd
Le Roy, IL 61752-1683

Phone

(217) 935-8500

NPI assigned

Jul 17, 2014

Last updated

Dec 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kendra M Van Hoof Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1437566700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK LN W",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617272637",
            "telephone_number": "217-935-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S BUCK RD",
            "city": "LE ROY",
            "state": "IL",
            "postal_code": "617521683",
            "telephone_number": "217-935-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEAN",
        "first_name": "KENDRA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "VAN HOOF",
            "middle_name": "M",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethann Kaeb, COTA/L
• Brenda A. Kube, M.D.
• Patricia Lynn Larkin, M.S., CCC-SLP/L
• Leroy Community School District 2
• Leroy Emergency Ambulance Service Inc
• Benjamin S Roth
• Srisai RX Mart LLC (Leroy Pharmacy)
• Srirat Temiyasathit, M.D.
• Jennifer Lynn Thomison, D.T.
• Unlimited Development, Inc. (UDI 4 Leroy Manor)

• Occupational Therapist in Le Roy, IL
• Providers in Le Roy, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.