| NPI | 1417550369 |
|---|---|
| Doing Business As | KENDRED WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BEAM Owner 719-310-2394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |