Provider Demographics
NPI:1518281815
Name:MCCARTY, KENDRA E (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:E
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:KENDRA
Other - Middle Name:E
Other - Last Name:AALUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2950 CULLEN BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3922
Mailing Address - Country:US
Mailing Address - Phone:281-412-6262
Mailing Address - Fax:281-412-6740
Practice Address - Street 1:1615 W LEAGUE CITY PKWY STE 300
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-7458
Practice Address - Country:US
Practice Address - Phone:281-665-4444
Practice Address - Fax:888-783-4180
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06634363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical