Kristen L Kedersha, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1145050 Issued in TX

Practice address

411 N Washington Ave Ste 4000
Dallas, TX 75246-1776

Phone

(214) 820-9393

Fax

(214) 820-8877

NPI assigned

Apr 20, 2011

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

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1790076040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 CHEYENNE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE STE 4000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461776",
            "telephone_number": "214-820-9393",
            "fax_number": "214-820-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDERSHA",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1145050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mulugeta Kebede, PHARMD
• Muna Kebede
• Michelle L Kebr, COTA
• Sarkis J Kechejian, M.D.
• Annmarie Margaret Keck, NP-C
• Prashant Kedia, MD
• Raashee Sood Kedia, MD
• John C Kedora, M.D.
• Denise Kee, RN
• Jeremy Kee

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.