Drisdom, Kendra

Drisdom, Kendra is an individual health care provider with primary practice located at 20435 Granite Park Cir , Eagle River AK 99577-8852. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Drisdom, Kendra can be contacted via phone (907) 744-1154.

Contact Information

Primary practice address

20435 Granite Park Cir Eagle River AK 99577-8852

Phone: (907) 744-1154

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Nursing Service Providers / Licensed Practical Nurse	164W00000X	7099	Alaska
Nursing Service Providers / Registered Nurse	163W00000X	112573	Alaska

Profile Details

NPI number	1336558303
LBN Legal business name	Drisdom, Kendra
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 4th, 2014
Last updated	Dec 21st, 2018 - about 8 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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