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Individual

JAYNE ELLEN KENDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
105 ELK FORK RD, ELKTON, KY 42220-7218
(270) 265-2574
(270) 265-3098
Mailing address
4915 OLIVE CREEK RD, BENTON, KY 42025-6231

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
23643
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
3011747
KY

Other

Enumeration date
02/15/2018
Last updated
03/14/2023
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