Individual
COURTNEY GRIZZARD KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4510
(804) 285-8206
(804) 320-3102
Mailing address
2369 STAPLES MILL RD STE 200, RICHMOND, VA 23230-2918
(804) 285-8206
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024176358
VA
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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