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Individual

MERRI KAY KENDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-2858
(253) 968-3529
(253) 968-2895
Mailing address
2816 GARDEN CT APT D, STEILACOOM, WA 98388-2865
(253) 380-2593

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00056767
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LP00056767
PROVIDER CREDENTIAL
WA
Enumeration date
11/29/2010
Last updated
07/21/2022
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