KENDALL ANN GUNDERSON FNP NPI 1356992309

NPI Information

NPI: 1356992309
Provider Name: KENDALL ANN GUNDERSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: RADIOLOGY ASSOCIATES OF NORTH IDAHO PA

PECOS Registration: Yes

Address:
700 W IRONWOOD DR STE 175
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 625-6300
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Kendall Ann Gunderson, FNP is a family nurse practitioner in Coeur D Alene, ID with 5 years of experience. Kendall Ann Gunderson, FNP NPI is 1356992309. 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:

700 W IRONWOOD DR STE 175
COEUR D ALENE, ID
ZIP 83814-401
Phone: (208) 625-6300
Fax: (208) 625-6301

The NPI 1356992309 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2019 and was last updated on 9/24/2019.

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	62732	IDAHO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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