Individual
KENDRA ALEXANDRIA ELDRIDGE PERTUSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2127 25TH ST, PORTSMOUTH, OH 45662-3250
(740) 355-6634
(740) 355-1273
Mailing address
1361 ROSEMOUNT RD, PORTSMOUTH, OH 45662-6666
(740) 727-3337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006631
OH
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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