Individual
AMANDA RENEE KENDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 MAYTOWN RD, ELIZABETHTOWN, PA 17022-9314
(717) 367-1430
(717) 367-2895
Mailing address
8130 ADAMS DR, HUMMELSTOWN, PA 17036-8623
(717) 967-8288
(717) 967-8291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN715836
PA
363L00000X
Nurse Practitioner
NPPA037589
PA
363L00000X
Nurse Practitioner
SP020363
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP032584
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036476320001
—
PA
01
—
836661
MEDICARE
PA
Enumeration date
04/04/2019
Last updated
04/16/2025
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