Individual
MRS. KENDRA NICOLE EVELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2350 FREEDOM WAY, SUITE 107, YORK, PA 17402
(717) 741-9914
(717) 741-9917
Mailing address
2350 FREEDOM WAY, SUITE 107, YORK, PA 17402
(717) 741-9914
(717) 741-9917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054754
PA
363AM0700X
Medical Physician Assistant
0110002578
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001866305004
—
PA
Enumeration date
08/30/2007
Last updated
11/17/2023
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