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:
Health care specialties
| Specialty | Code | License # | 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 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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