Provider Demographics
NPI:1427603323
Name:SACHARCZYK, KENDALL (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:
Last Name:SACHARCZYK
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6584 POPLAR AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3612
Mailing Address - Country:US
Mailing Address - Phone:901-300-6713
Mailing Address - Fax:
Practice Address - Street 1:6584 POPLAR AVE STE 400
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3612
Practice Address - Country:US
Practice Address - Phone:901-300-6713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25152255A2300X
TN32562363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer