Provider Demographics
NPI:1467639427
Name:WELDER, KENDALL SKELTON (CRNP, RN)
Entity Type:Individual
Prefix:MRS
First Name:KENDALL
Middle Name:SKELTON
Last Name:WELDER
Suffix:
Gender:F
Credentials:CRNP, RN
Other - Prefix:
Other - First Name:KENDALL
Other - Middle Name:KATHLEEN
Other - Last Name:SKELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP, RN
Mailing Address - Street 1:829 RIVERBEND DRIVE
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901
Mailing Address - Country:US
Mailing Address - Phone:256-546-6241
Mailing Address - Fax:256-546-2214
Practice Address - Street 1:829 RIVERBEND DRIVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901
Practice Address - Country:US
Practice Address - Phone:256-546-4611
Practice Address - Fax:256-546-2214
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-103188363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily