Individual
KENDRA BURDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-3148
(520) 906-4937
Mailing address
10029 E EUGENIA DR, TUCSON, AZ 85730-3148
(520) 906-4937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP11257
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP11257
NURSE PRACTITIONER LICENSE
AZ
Enumeration date
07/10/2018
Last updated
07/10/2018
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