MALINDA K KENDRICK FNP NPI 1578550158

NPI Information

NPI: 1578550158
Provider Name: MALINDA K KENDRICK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
108 S HICKORY ST
MOUNT VERNON, MO
ZIP 65712
Phone: (417) 466-4110
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Malinda K Kendrick, FNP is a family nurse practitioner in Mount Vernon, MO. Malinda K Kendrick, FNP NPI is 1578550158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

108 S HICKORY ST
MOUNT VERNON, MO
ZIP 65712-407
Phone: (417) 466-4110
Fax: (417) 466-4255

The enumeration date for this NPI number is 9/29/2005 and was last updated on 1/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2000151234	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00115364	OTHER		RR MEDICARE
2	1578550158	MEDICAID	MISSOURI
3	427473806	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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