Individual
KENDICE HARTNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1514 KINGSTON SPRINGS RD, KINGSTON SPRINGS, TN 37082-9297
(262) 366-8385
Mailing address
1514 KINGSTON SPRINGS RD, KINGSTON SPRINGS, TN 37082-9297
(262) 366-8385
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM0000000125
TN
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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