# AMANDA RENEE KENDIG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639631096
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN715836 | PA | — |
| 363L00000X | Nurse Practitioner | NPPA037589 | PA | — |
| 363L00000X | Nurse Practitioner | SP020363 | PA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP032584 | PA | Yes |

## Other

- **Enumeration date:** 04/04/2019
- **Last updated:** 04/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1036476320001 | — | PA |
| 01 | — | 836661 | MEDICARE | PA |