Individual
KENDRA L MORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-6129
Mailing address
141 ROSE TRACE CT, BLOUNTVILLE, TN 37617-4880
(828) 452-5042
(828) 452-9225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216011
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
49085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013859
NHC CARE ADMINSTRATOR
—
Enumeration date
09/13/2005
Last updated
07/29/2015
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