Individual
KENDRA ANNE PETRUNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2442
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6010
TN
363AM0700X
Medical Physician Assistant
MA061177
PA
Other
Enumeration date
10/07/2019
Last updated
08/08/2024
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