Individual
MISS KIMBERLY L KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9335
Mailing address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01301
KS
363AM0700X
Medical Physician Assistant
T-00260
KS
Other
Enumeration date
09/24/2008
Last updated
11/07/2014
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