Individual
KAITLIN KENDYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12750 ST FRANCIS DR STE 320, CROWN POINT, IN 46307-0264
(219) 662-0077
(219) 662-9496
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007396A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71007396A
APN LICENSE NUMBER
IN
Enumeration date
08/16/2017
Last updated
01/12/2024
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