Kendall, Constance Cabell

Kendall, Constance Cabell is an individual health care provider with primary practice located at 3600 Joseph Siewick Dr , Fairfax VA 22033-1709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kendall, Constance Cabell can be contacted via phone (703) 391-3129.

Contact Information

Primary practice address
3600 Joseph Siewick Dr Fairfax VA 22033-1709
Phone: (703) 391-3129
Fax: (703) 391-3006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024138977 Virginia

Profile Details

NPI number 1679510325
LBN Legal business name Kendall, Constance Cabell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 26th, 2015 - about 9 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 1679510325 NPPES
Virginia MEDICAID 010252644
Virginia Other 139180
Virginia Other K142
Virginia MEDICAID 010252407
Virginia MEDICAID 1679510325
Virginia MEDICAID 010171253
Virginia Other 484645

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