Kendrick, Christian Adam

Kendrick, Christian Adam is an sole proprietor health care provider with primary practice located at 1286 Florida Ave S Ste 1 , Rockledge FL 32955-2400. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Kendrick, Christian Adam can be contacted via phone (321) 636-7780.

Contact Information

Primary practice address
1286 Florida Ave S Ste 1 Rockledge FL 32955-2400
Phone: (321) 636-7780
Fax: (321) 633-3043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9320972 Florida

Profile Details

NPI number 1205296407
LBN Legal business name Kendrick, Christian Adam
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2016
Last updated Dec 9th, 2022 - about 4 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 1205296407 NPPES
Florida MEDICAID 100869800
Florida Other JG234Z

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