Individual
KENDRICK BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 E 2ND ST, BLUE EARTH, MN 56013-1905
(228) 224-6126
Mailing address
205 E 2ND ST, BLUE EARTH, MN 56013-1905
(228) 224-6126
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MN
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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