Caudle, Kendra Michelle

Caudle, Kendra Michelle is an sole proprietor health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Caudle, Kendra Michelle can be contacted via phone (541) 382-4900.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701-6099
Phone: (541) 382-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 10006765 Oregon

Profile Details

NPI number 1427747054
LBN Legal business name Caudle, Kendra Michelle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2023
Last updated Dec 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427747054 NPPES
Oregon MEDICAID 500823935

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