Widemon, Kendrick

Widemon, Kendrick is an individual health care provider with primary practice located at 5728 Moon Flower Ct , Keller TX 76244. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Widemon, Kendrick can be contacted via phone (817) 337-9548.

Contact Information

Primary practice address
5728 Moon Flower Ct Keller TX 76244
Phone: (817) 337-9548
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1172043 Texas

Profile Details

NPI number 1942630116
LBN Legal business name Widemon, Kendrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2013
Last updated Nov 25th, 2013 - about 12 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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