Individual
KENDRA LIANN CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 FORT ST, 250 FORT ST, NEAH BAY, WA 98357-9835
(360) 645-2233
Mailing address
PO BOX 410, NEAH BAY, WA 98357
(360) 640-2233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60803392
WA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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