Provider Demographics
NPI:1225348204
Name:SCARLETT, KENDRA LEE (LICENSED MIDWIFE)
Entity Type:Individual
Prefix:MS
First Name:KENDRA
Middle Name:LEE
Last Name:SCARLETT
Suffix:
Gender:F
Credentials:LICENSED MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7084 ASH ST.
Mailing Address - Street 2:
Mailing Address - City:BONNERS FERRY
Mailing Address - State:ID
Mailing Address - Zip Code:83805-5723
Mailing Address - Country:US
Mailing Address - Phone:208-267-0936
Mailing Address - Fax:
Practice Address - Street 1:7084 ASH ST.
Practice Address - Street 2:
Practice Address - City:BONNERS FERRY
Practice Address - State:ID
Practice Address - Zip Code:83805-5723
Practice Address - Country:US
Practice Address - Phone:208-267-0936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife