Provider Demographics
NPI:1467221002
Name:LAPKOWICZ, KENDALL RAE (CRNA)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:RAE
Last Name:LAPKOWICZ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KENDALL
Other - Middle Name:RAE
Other - Last Name:KEPHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:113 SCHROYERS LN
Mailing Address - Street 2:
Mailing Address - City:CARMICHAELS
Mailing Address - State:PA
Mailing Address - Zip Code:15320-1039
Mailing Address - Country:US
Mailing Address - Phone:724-963-3856
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-1200
Practice Address - Country:US
Practice Address - Phone:304-598-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV147940367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered