De Vries, Kendra

De Vries, Kendra is an individual health care provider with primary practice located at 503 Otis Bowen Dr , Munster IN 46321-4158. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. De Vries, Kendra can be contacted via phone (219) 703-5152.

Contact Information

Primary practice address
503 Otis Bowen Dr Munster IN 46321-4158
Phone: (219) 703-5152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28204066A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71009822A Indiana

Profile Details

NPI number 1922647460
LBN Legal business name De Vries, Kendra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2020
Last updated Feb 20th, 2020 - about 6 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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