Individual
KENDRA FEJEDELEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
721 JACKSON ST, PUEBLO, CO 81004-1711
(719) 752-8487
(855) 538-2198
Mailing address
448 S MCCULLOCH BLVD # 1008, PUEBLO WEST, CO 81007-2888
(719) 752-8487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0195584
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0994631-NP
CO
Other
Enumeration date
11/07/2018
Last updated
09/03/2025
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