Individual
DEANNA M KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2525 COURT DRIVE, GASTONIA, NC 28054
(704) 834-2000
Mailing address
PO BOX 12845, GASTONIA, NC 28052
(704) 834-2825
(704) 866-7853
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
044105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051509
—
NC
Enumeration date
06/09/2006
Last updated
01/20/2016
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