Kendall, Stephanie Michele

Kendall, Stephanie Michele is an individual health care provider with primary practice located at 601 W Maple Ave Ste 503 , Springdale AR 72764-5376. 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, Stephanie Michele can be contacted via phone (479) 751-3722.

Contact Information

Primary practice address
601 W Maple Ave Ste 503 Springdale AR 72764-5376
Phone: (479) 751-3722
Fax: (479) 751-1099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN11874 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C002663 Arkansas

Profile Details

NPI number 1215902788
LBN Legal business name Kendall, Stephanie Michele
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jul 21st, 2022 - 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 1215902788 NPPES
Arkansas MEDICAID 168887001

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