Individual
KENDRA A STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN290977
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.022253
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266819
—
OH
01
—
H625540
MEDICARE
OH
Enumeration date
12/20/2017
Last updated
06/15/2022
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