Individual
KENDALL MICHELLE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 BUTTERNUT DR, SUITE B, GREENVILLE, SC 29605-4655
(864) 298-2826
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18828
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
18828
SC
Other
Enumeration date
06/23/2014
Last updated
07/12/2017
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