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Individual

MRS. STEPHANIE MICHELE KENDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
601 W MAPLE AVE STE 503, SPRINGDALE, AR 72764-5376
(479) 751-3722
(479) 751-1099
Mailing address
601 W MAPLE AVE STE 503, NORTHWEST ANESTHESIOLOGY ASSOCIATES, SPRINGDALE, AR 72764-5376
(479) 751-3722
(479) 751-1099

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APN11874
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
C002663
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168887001
AR
Enumeration date
02/20/2006
Last updated
07/21/2022
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