Individual
KENDRA JO POULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
297 NEVADA NORTHERN RAIL WAY STE 5, ELY, NV 89301-2807
(775) 293-6558
(775) 289-1561
Mailing address
HC 10 BOX 40, PIOCHE, NV 89043-9401
(208) 589-2729
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN95615
NV
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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