Individual
BARBARA KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 ELLIS AVE, JACKSON, MS 39209-6256
(601) 533-7016
(769) 333-9150
Mailing address
PO BOX 746085, ATLANTA, GA 30374-6085
(312) 733-9730
(601) 364-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R813451
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04854314
—
MS
Enumeration date
07/09/2006
Last updated
11/15/2024
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