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Individual
KENDRA KAY HACKNEY
Active
Individual
KENDRA KAY HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95354760
CA
363LF0000X
Family Nurse Practitioner
Primary
95027800
CA
363LF0000X
Family Nurse Practitioner
CNP2597
MN
363LF0000X
Family Nurse Practitioner
F0910261
MN
Other
Enumeration date
11/13/2010
Last updated
08/29/2024
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