Christidis, Kendall

Christidis, Kendall is an individual health care provider with primary practice located at 74 Eclipse Ctr , Beloit WI 53511-3550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Christidis, Kendall can be contacted via phone (608) 361-0311.

Contact Information

Primary practice address
74 Eclipse Ctr Beloit WI 53511-3550
Phone: (608) 361-0311
Fax: (608) 361-0312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209025846 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 14537-33 Wisconsin

Profile Details

NPI number 1124748405
LBN Legal business name Christidis, Kendall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2022
Last updated Jan 30th, 2024 - about 11 months 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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