Individual
MISS KINDRA MICHELLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LDM, IBCLC
Contact information
Practice address
21235 GARCIA RD, BEND, OR 97701-8065
(541) 480-8689
(541) 205-4885
Mailing address
21235 GARCIA RD, BEND, OR 97701-8065
(541) 480-8689
(541) 205-4885
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10156590
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500667822
—
OR
Enumeration date
05/14/2010
Last updated
04/28/2016
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