Provider Demographics
NPI:1457832743
Name:HOWELL, KENDREA (DC)
Entity Type:Individual
Prefix:DR
First Name:KENDREA
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2123 NASHVILLE ST
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-1539
Mailing Address - Country:US
Mailing Address - Phone:620-544-6582
Mailing Address - Fax:
Practice Address - Street 1:1719 ASPEN CIR STE 14
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-2401
Practice Address - Country:US
Practice Address - Phone:620-544-6582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor