Individual
MALINDA K KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
108 S HICKORY ST, MOUNT VERNON, MO 65712-1407
(417) 466-4110
(417) 466-4255
Mailing address
108 S HICKORY ST, MOUNT VERNON, MO 65712-1407
(417) 466-4110
(417) 466-4255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2000151234
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578550158
—
MO
05
—
427473806
—
MO
01
—
P00115364
RR MEDICARE
—
Enumeration date
09/29/2005
Last updated
01/15/2019
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