Kallendorf, Joanna Nicole
Kallendorf, Joanna Nicole is an individual health care provider with primary practice located at 193 Oates Dr , Newton AL 36352-4312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kallendorf, Joanna Nicole can be contacted via phone (334) 299-3592.Contact Information
Primary practice address
193 Oates Dr
Newton AL 36352-4312
Phone: (334) 299-3592
Fax: (334) 299-3870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-116722 | Alabama |
Profile Details
| NPI number | 1295278653 |
|---|---|
| LBN Legal business name | Kallendorf, Joanna Nicole |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2016 |
| Last updated | Aug 8th, 2019 - about 7 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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