| NPI | 1164830212 |
|---|---|
| Former Name | KENDRA D PREILIPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA209206) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60493784) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2022-04-26 |