Individual
KENDRA S GROUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 W 7TH ST, MOUNT CARMEL, IL 62863-1439
(618) 263-3873
(618) 262-4215
Mailing address
14687 N 2000 BLVD, ALLENDALE, IL 62410-2196
(618) 299-2007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041298372
IL
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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