Individual
MR. KENDALL RAY HAYDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMH-NP
Contact information
Practice address
13700 MARINA POINTE DR UNIT 822, MARINA DEL REY, CA 90292-9263
(626) 414-6062
(626) 407-3401
Mailing address
13700 MARINA POINTE DR UNIT 822, MARINA DEL REY, CA 90292-9263
(337) 256-0188
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95013912
CA
Other
Enumeration date
02/11/2020
Last updated
04/30/2024
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