DR. KENDRA JOHANNA LE DO NPI 1225599707

NPI Information

  • NPI: 1225599707
  • Provider Name: DR. KENDRA JOHANNA LE, DO
  • Classification: Psychiatry & Neurology - 2084P0805X
  • Specialization: Geriatric Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12 EXECUTIVE PARK DR NE FL 5
    ATLANTA, GA
    ZIP 30329
  • Phone: (404) 778-5526

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NPI Details

DR. Kendra Johanna Le, DO is a geriatric psychiatry psychiatry neurology in Atlanta, GA with 6 years of experience. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. DR. Kendra Johanna Le, DO NPI is 1225599707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduation Year:2019

The provider's business location address is:

12 EXECUTIVE PARK DR NE FL 5
ATLANTA, GA
ZIP 30329-206
Phone: (404) 778-5526
Fax: (404) 712-7436

The NPI 1225599707 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2019 and was last updated on 6/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryT3123TEXASNo
2390200000XStudent in an Organized Health Care Education/Training ProgramBP10068083TEXASNo
32084P0805XPsychiatry & NeurologyGeriatric Psychiatry95510GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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