Provider Demographics
NPI:1245803022
Name:KENDRICK, DONNA KAY (EDD)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:KAY
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 ASHBY VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:ARRINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:37014-4927
Mailing Address - Country:US
Mailing Address - Phone:615-394-3344
Mailing Address - Fax:
Practice Address - Street 1:1309 ASHBY VALLEY LN
Practice Address - Street 2:
Practice Address - City:ARRINGTON
Practice Address - State:TN
Practice Address - Zip Code:37014-4927
Practice Address - Country:US
Practice Address - Phone:615-394-3344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider