Proctor, Kendra Deann
Proctor, Kendra Deann is an individual health care provider with primary practice located at 1128 Clarksville St Ste. 100, Paris TX 75460-6060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Proctor, Kendra Deann can be contacted via phone (903) 785-4362.Contact Information
Primary practice address
1128 Clarksville St Ste. 100
Paris TX 75460-6060
Phone: (903) 785-4362
Fax: (903) 782-9365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 562744 | Texas |
Profile Details
| NPI number | 1396764981 |
|---|---|
| LBN Legal business name | Proctor, Kendra Deann |
| Credentials | RN, CFNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Sep 22nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396764981 | NPPES |
| Other | 144831802 | GROUP TEXAS HEALTH STEPS | |
| Other | 500021734 | GROUP TEXAS HEALTH STEPS | |
| Other | 88N512 | GROUP TEXAS HEALTH STEPS | |
| MEDICAID | 112250904 | GROUP TEXAS HEALTH STEPS |
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