KENDRA S BLACKEAGLE

CONCORD, NC
NPI1801177621
Former NameKENDRA S. WILKES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704287475)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  328087)
Enumeration Date2011-09-07
Last Update Date2024-05-09
Business Address
KENDRA S BLACKEAGLE CRNA
920 CHURCH ST N
CONCORD, NC 28025-2927
Phone number: 704-403-2715
Mailing Address
KENDRA S BLACKEAGLE CRNA
920 CHURCH ST N
CONCORD, NC 28025-2927
Phone number: 704-403-2715