Provider Demographics
NPI:1942053533
Name:KENDRICK, SARA LYNN (CNM)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:LYNN
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:1208 FIRETHORNE CLUB DR
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6553
Mailing Address - Country:US
Mailing Address - Phone:704-604-4683
Mailing Address - Fax:
Practice Address - Street 1:13640 STEELECROFT PKWY STE 240
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7799
Practice Address - Country:US
Practice Address - Phone:704-512-3860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC915367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife