Kendall, Connie Sue

Kendall, Connie Sue is an individual health care provider with primary practice located at 703 Pro-Med Ln Suite 200, Carmel IN 46032-5317. She recently has 5 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Chronically Ill, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community, Physician Assistants & Advanced Practice Nursing Providers / Rehabilitation. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Kendall, Connie Sue can be contacted via phone (317) 843-9922.

Contact Information

Primary practice address
703 Pro-Med Ln Suite 200 Carmel IN 46032-5317
Phone: (317) 843-9922
Fax: (317) 581-3918
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 70000714A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 70000174A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Chronically Ill 364SP0811X 70000174A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community 364SP0812X 70000174A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Rehabilitation 364SR0400X 70000174A Indiana

Profile Details

NPI number 1053320549
LBN Legal business name Kendall, Connie Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated May 1st, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053320549 NPPES
Indiana MEDICAID 200852470
Indiana MEDICAID 100270530A

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