NPI | 1669475463 |
---|---|
Former Name | APRIL KENDRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KY PA376) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA376) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2015-09-18 |