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Individual

KENDRIA L CHAMBERLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22329
SC
363LF0000X
Family Nurse Practitioner
22329
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP6195
SC
Enumeration date
11/06/2018
Last updated
08/21/2024
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