Chamberlain, Kendria L

Chamberlain, Kendria L is an sole proprietor health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605-4210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chamberlain, Kendria L can be contacted via phone (864) 455-4411.

Contact Information

Primary practice address
701 Grove Rd Fl 5 Greenville SC 29605-4210
Fax: (864) 455-4480
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22329 South Carolina

Profile Details

NPI number 1225506330
LBN Legal business name Chamberlain, Kendria L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2018
Last updated Jul 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225506330 NPPES
South Carolina MEDICAID NP6195

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