Individual
HOLLY J KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2089 SOUTHRIDGE DR, TUPELO, MS 38801-6478
(662) 407-0801
(662) 407-0807
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-1218
(800) 897-6169
(800) 897-6170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R887672
MS
Other
Enumeration date
03/21/2011
Last updated
10/16/2012
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