MRS. CONNIE SUE KENDALL NPI 1053320549

NPI Information

NPI: 1053320549
Provider Name: MRS. CONNIE SUE KENDALL
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
703 PRO-MED LN
SUITE 200
CARMEL, IN
ZIP 46032
Phone: (317) 843-9922
Get Directions

MRS. Connie Sue Kendall is a psychiatric/mental health and adult clinical nurse specialist in Carmel, IN. MRS. Connie Sue Kendall NPI is 1053320549. 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:

703 PRO-MED LN
SUITE 200
CARMEL, IN
ZIP 46032-317
Phone: (317) 843-9922
Fax: (317) 581-3918

The enumeration date for this NPI number is 8/5/2006 and was last updated on 5/1/2008.

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	364S00000X	Clinical Nurse Specialist		70000714A	INDIANA	No
2	364SP0811X	Clinical Nurse Specialist	Psychiatric/Mental Health, Chronically Ill	70000174A	INDIANA	No
3	364SP0812X	Clinical Nurse Specialist	Psychiatric/Mental Health, Community	70000174A	INDIANA	No
4	364SR0400X	Clinical Nurse Specialist	Rehabilitation	70000174A	INDIANA	No
5	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	70000174A	INDIANA	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
1	100270530A	MEDICAID	INDIANA
2	200852470	MEDICAID	INDIANA
3	798900DD	MEDICARE PIN	INDIANA

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: 4/28/2024

NPI Synchronization or Removal

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