Clevenger, Kendall

Clevenger, Kendall is an sole proprietor health care provider with primary practice located at 510 2Nd St Se , Pine City MN 55063-1706. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clevenger, Kendall can be contacted via phone (320) 629-6721.

Contact Information

Primary practice address
510 2Nd St Se Pine City MN 55063-1706
Phone: (320) 629-6721
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9635 Minnesota

Profile Details

NPI number 1154654218
LBN Legal business name Clevenger, Kendall
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2009
Last updated Sep 8th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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