Provider Demographics
NPI:1164399341
Name:MCDONALD, KENDAL HILLRICK
Entity type:Individual
Prefix:
First Name:KENDAL
Middle Name:HILLRICK
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 N GIBSON RD APT 1318
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6745
Mailing Address - Country:US
Mailing Address - Phone:608-479-1908
Mailing Address - Fax:
Practice Address - Street 1:325 N GIBSON RD APT 1318
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-6745
Practice Address - Country:US
Practice Address - Phone:608-479-1908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program