Provider Demographics
NPI:1013045418
Name:KENDRICK, CYBIL G (L AC, DIPL OM,CMT)
Entity Type:Individual
Prefix:MS
First Name:CYBIL
Middle Name:G
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:L AC, DIPL OM,CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7545
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80424-7545
Mailing Address - Country:US
Mailing Address - Phone:970-485-3839
Mailing Address - Fax:
Practice Address - Street 1:310 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443
Practice Address - Country:US
Practice Address - Phone:970-485-3839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1185171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist