Individual
KENDRA K SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1024 S PENNSYLVANIA AVE, WELLSTON, OH 45692-1703
(740) 978-8481
Mailing address
1024 S PENNSYLVANIA AVE, WELLSTON, OH 45692-1703
(740) 577-5733
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
376642
OH
163WA2000X
Administrator Registered Nurse
Primary
376642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864002
—
OH
Enumeration date
04/18/2018
Last updated
03/24/2026
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