| NPI | 1942523600 |
|---|---|
| Former Name | KENDRA M DEWEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106918) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 005799) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2020-03-12 |