Individual
KENDRA DEANN PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CFNP
Contact information
Practice address
1128 CLARKSVILLE ST, STE. 100, PARIS, TX 75460-6060
(903) 785-4362
(903) 782-9365
Mailing address
1128 CLARKSVILLE ST, STE. 100, PARIS, TX 75460-6060
(903) 785-4362
(903) 782-9365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
562744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112250904
—
TX
01
—
144831802
GROUP TEXAS HEALTH STEPS
—
01
—
500021734
INDIVIDUAL RAILROAD MC
TX
01
—
88N512
INDIVIDUAL BLUE CROSS
TX
Enumeration date
07/18/2006
Last updated
09/22/2021
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