Kendrick, Ryan P

Kendrick, Ryan P is an individual health care provider with primary practice located at 3529 Heritage Trace Pkwy Ste 137 , Fort Worth TX 76244-4971. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kendrick, Ryan P can be contacted via phone (817) 741-7960.

Contact Information

Primary practice address
3529 Heritage Trace Pkwy Ste 137 Fort Worth TX 76244-4971
Phone: (817) 741-7960
Fax: (817) 741-7581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06641 Texas

Profile Details

NPI number 1386821213
LBN Legal business name Kendrick, Ryan P
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2008
Last updated Jan 21st, 2015 - about 11 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 1386821213 NPPES
Texas MEDICAID 283166102
Texas MEDICAID 283166103
Texas Other P01021938

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