Kendall Durst | Shaker Hts, OH • PECOS Search

Kendall Durst

Social Worker

Behavioral Health & Social Service Providers

22001 Fairmount Blvd, Shaker Hts, OH 44118-4819

PECOS Enrollment

Based on the most recent information from CMS, provider Kendall Durst does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1366086928
Provider Type
Individual
Full Name
Durst, Kendall
Credential
LSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/6/2019
Last Updated
12/19/2023

Contact Information

Practice Location

22001 Fairmount Blvd, Shaker Hts, OH 44118-4819

Unlisted Fax

Mailing Location

22001 Fairmount Blvd, Shaker Hts, OH 44118-4819

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer