Kendra Mickens

NPI 1992613855 · on the registry since 2026 · sole proprietor

Practice

Address: 225 E City Ave Ste 104
Bala Cynwyd, PA 19004
Phone: (717) 268-9479
Organisation at this address: Recovery Home Llc
Liberation Way, Llc
Epic Professionals Llc
Ronald B. Greene, Md P.C.
Life Of Purpose - Pennsylvania
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania