Provider Demographics
NPI:1740617927
Name:KENDRICK, KATHRYNE HANNAH (PA-C)
Entity Type:Individual
Prefix:
First Name:KATHRYNE
Middle Name:HANNAH
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 OAKBROOK DR
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6403
Mailing Address - Country:US
Mailing Address - Phone:724-830-9305
Mailing Address - Fax:724-830-9356
Practice Address - Street 1:400 OAKBROOK DR
Practice Address - Street 2:SUITE 2100
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6403
Practice Address - Country:US
Practice Address - Phone:724-830-9305
Practice Address - Fax:724-830-9356
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA056156363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant