Provider Demographics
NPI:1790394294
Name:TRUE, KENDRA (RN)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:TRUE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:
Other - Last Name:JERMARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:316 N ROTHSAY AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67467-2208
Mailing Address - Country:US
Mailing Address - Phone:785-545-6737
Mailing Address - Fax:
Practice Address - Street 1:1005 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-1215
Practice Address - Country:US
Practice Address - Phone:785-738-2246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS140028163W00000X
KS81265363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse