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
Fax: (903) 782-9365
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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