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Individual

MRS. KENDRA CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
(812) 437-2634
Mailing address
3701 BELLEMEADE AVE, EVANSVILLE, IN 47714-0137
(812) 479-1411
(812) 437-2634

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005258
KY
225100000X
Physical Therapist
05009676A
IN
2251P0200X
Pediatric Physical Therapist
Primary
05009676A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100272490
IN
01
200913520
FIRST STEPS
IN
Enumeration date
09/29/2008
Last updated
01/05/2009
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