Individual
KENDALL HOCHSTEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1960 NORTHSIDE BLVD, SOUTH BEND, IN 46615-1630
(574) 307-7673
(574) 234-4706
Mailing address
1960 NORTHSIDE BLVD, SOUTH BEND, IN 46615-1630
(574) 307-7673
(574) 234-4706
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008112A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363L00000X
—
IN
Enumeration date
06/18/2018
Last updated
02/12/2024
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