Individual
KENDRA A STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1214 RIDGEWOOD DR, BOWLING GREEN, OH 43402-2664
(419) 352-8427
Mailing address
745 HASKINS RD STE B, BOWLING GREEN, OH 43402-1600
(419) 373-7607
(419) 353-7076
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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