Individual
KENDALL MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
165365
MA
363LP0200X
Pediatric Nurse Practitioner
165635
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S53408185
DRIVERS LICENSE
MA
Enumeration date
05/14/2008
Last updated
05/14/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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