Kendrick, Tara Darlene

Kendrick, Tara Darlene is an individual health care provider with primary practice located at 170 Curtis Pkwy Ne Suite 1, Calhoun GA 30701-2062. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kendrick, Tara Darlene can be contacted via phone (706) 879-5770.

Contact Information

Primary practice address
170 Curtis Pkwy Ne Suite 1 Calhoun GA 30701-2062
Phone: (706) 879-5770
Fax: (706) 624-4336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN144327 Georgia

Profile Details

NPI number 1376942144
LBN Legal business name Kendrick, Tara Darlene
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2014
Last updated Dec 20th, 2018 - about 6 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 1376942144 NPPES
Georgia MEDICAID 003155554B

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