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Individual

KENDRA DEWBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
503 WALNUT ST, TEXARKANA, AL 71854
(870) 773-2108
Mailing address
503 WALNUT ST, TEXARKANA, AR 71854-5286
(870) 773-2108
(870) 772-2752

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004369
AR
363LF0000X
Family Nurse Practitioner
AP127959
TX

Other

Enumeration date
04/24/2015
Last updated
05/20/2015
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