MRS. CONNIE SUE KENDALL NPI 1053320549

NPI Information

  • NPI: 1053320549
  • Provider Name: MRS. CONNIE SUE KENDALL
  • Classification: Clinical Nurse Specialist - 364SP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • Address: 703 PRO-MED LN
    SUITE 200
    CARMEL, IN
    ZIP 46032
  • Phone: (317) 843-9922

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NPI Details

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
1364S00000XClinical Nurse Specialist70000714AINDIANANo
2364SP0811XClinical Nurse SpecialistPsychiatric/Mental Health, Chronically Ill70000174AINDIANANo
3364SP0812XClinical Nurse SpecialistPsychiatric/Mental Health, Community70000174AINDIANANo
4364SR0400XClinical Nurse SpecialistRehabilitation70000174AINDIANANo
5364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult70000174AINDIANAYes

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
1100270530AMEDICAIDINDIANA
2200852470MEDICAIDINDIANA
3798900DDMEDICARE PININDIANA

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: 11/21/2025

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