Individual
KENDALL DIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-4000
(859) 301-4001
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-185359
AL
363L00000X
Nurse Practitioner
Primary
3010919
KY
Other
Enumeration date
07/02/2018
Last updated
06/29/2023
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