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Organization
KENDALL ALTAFFER PMHNP PLLC
Active
Organization
KENDALL ALTAFFER PMHNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL KAYWORTH APRN (PMHNP-BC)
(254) 716-1764
Entity
Organization
Contact information
Practice address
3305 NORTHLAND DR STE 210, AUSTIN, TX 78731-4988
(512) 454-5716
Mailing address
2100 LOBELIA DR, CEDAR PARK, TX 78613-5706
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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