Individual
MS. KENDRA K SPONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
514 E STATE ROAD 32, WESTFIELD, IN 46074-8767
(877) 366-2663
(317) 867-3798
Mailing address
PO BOX 358, TIPTON, IN 46072-0358
(765) 675-8119
(765) 675-8257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007791A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361993
ANTHEM ID
IN
05
—
200513890
—
IN
Enumeration date
03/31/2006
Last updated
05/26/2010
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