Kendall, Connie Sue
Kendall, Connie Sue is an individual health care provider with primary practice located at 703 Pro-Med Ln Suite 200, Carmel IN 46032-5317. She recently has 5 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Chronically Ill, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community, Physician Assistants & Advanced Practice Nursing Providers / Rehabilitation. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Kendall, Connie Sue can be contacted via phone (317) 843-9922.Contact Information
Primary practice address
703 Pro-Med Ln Suite 200
Carmel IN 46032-5317
Phone: (317) 843-9922
Fax: (317) 581-3918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 70000714A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 70000174A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Chronically Ill | 364SP0811X | 70000174A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community | 364SP0812X | 70000174A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Rehabilitation | 364SR0400X | 70000174A | Indiana |
Profile Details
| NPI number | 1053320549 |
|---|---|
| LBN Legal business name | Kendall, Connie Sue |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | May 1st, 2008 - about 16 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 | 1053320549 | NPPES |
| Indiana | MEDICAID | 200852470 | |
| Indiana | MEDICAID | 100270530A |
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