Provider Demographics
NPI:1376936203
Name:KENDRICK, NATALIE ANNE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANNE
Last Name:KENDRICK
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:417-730-6430
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:525 BRANSON LANDING BLVD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2052
Practice Address - Country:US
Practice Address - Phone:417-335-7128
Practice Address - Fax:417-334-1507
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2024-02-13
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Provider Licenses
StateLicense IDTaxonomies
MO2015008257363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant