Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendall Polk, CSFA

Individual provider Surgical Technologist · NPI 1285009803

Kendall Polk, CSFA is a Surgical Technologist in Mansfield, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
Specialties on file
4

Practice location Address checks out

205 Crenshaw Dr
Mansfield, TX 76063-3451
Phone: (214) 927-6539
Fax: (817) 394-1231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00635 (TX)
Surgical Technologist Taxonomy 246ZS0410X · Licence SA00635 (TX)
Surgery Physician Taxonomy 208600000X · Licence SA00635 (TX)
Orthopedic Assistant Taxonomy 246ZX2200X · Licence SA00635 (TX)

Record details

NPI number1285009803
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedDecember 8, 2015
Last updated in NPPESJune 16, 2018