Individual
DR. NICOLE KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
315 CROSSWAYS PARK DR STE B, WOODBURY, NY 11797-2066
(631) 213-7190
Mailing address
30 N GOULD ST STE R, SHERIDAN, WY 82801-6317
(631) 213-7190
(631) 967-1698
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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