Individual
ALYSHIA MIGNON KENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
Mailing address
1 MEDICAL VILLAGE DRIVE, ST. ELIZABETH HOSPITAL EDGWOOD, EDGEWOOD, KY 41017
(859) 341-7246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3187262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306191400
—
FL
01
—
G3487
BCBS
FL
Enumeration date
12/09/2005
Last updated
07/17/2014
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