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Individual

DONNA LOUISE KENDRICK I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 2ND AVE # 5, BRISTOL, TN 37620-8822
(423) 646-4002
Mailing address
124 HIGHWAY 25E S STE 2, TAZEWELL, TN 37879-3014
(423) 626-3020
(855) 883-5111

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
37915
TN

Other

Enumeration date
01/30/2025
Last updated
05/11/2026
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