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Individual
KENDELL DWAYNE VARNER
Active
Individual
KENDELL DWAYNE VARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02169
KS
363A00000X
Physician Assistant
Primary
PA-859
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158140
NCCPA
—
Enumeration date
11/19/2018
Last updated
02/06/2023
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