Individual
KENDRA DENISE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
225 N GRAHAM AVE, WINSTON SALEM, NC 27101-4523
(336) 240-9763
Mailing address
225 N GRAHAM AVE, WINSTON SALEM, NC 27101-4523
(336) 240-9763
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374700000X
Technician
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
446978
NC
Other
Enumeration date
01/15/2016
Last updated
02/07/2022
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