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:
Health care specialties
| Specialty | Code | License # | 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 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427747054 | NPPES |
| Oregon | MEDICAID | 500823935 |
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