Individual
ANGELA DAWN KIRKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3611 S REED RD STE 213, KOKOMO, IN 46902-3828
(765) 776-3400
Mailing address
2705 N LEBANON ST STE 305, LEBANON, IN 46052-8622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009568A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300032489
—
IN
Enumeration date
09/04/2019
Last updated
02/01/2024
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