Individual
KENDRA LEANN COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
1059 NW MADRAS HWY, PRINEVILLE, OR 97754-1416
(541) 323-5330
Mailing address
1059 NW MADRAS HWY, PRINEVILLE, OR 97754-1416
(541) 323-5330
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
107986
OR
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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