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Individual
KENDRA COLLEEN GLENDENNING
Active
Individual
KENDRA COLLEEN GLENDENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, DC
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
DC33843
CA
225100000X
Physical Therapist
Primary
PT296606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC33843
CHIROPRACTOR
CA
01
—
PT296606
STATE MEDICAL LICENSE
CA
Enumeration date
10/13/2017
Last updated
06/10/2019
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