Individual
KENDALL MIKAYLA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1315 AVON ST, FAYETTEVILLE, NC 28304-4423
(910) 433-9004
Mailing address
1315 AVON ST, FAYETTEVILLE, NC 28304-4423
(919) 433-9004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019927
NC
Other
Enumeration date
03/28/2024
Last updated
04/19/2024
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