Healthcare Provider Details

I. General information

NPI: 1124969126
Provider Name (Legal Business Name): KENDALL SORRELL ENGLISH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KENDALL SORRELL

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 EDMUND BRINSON RD
BEULAVILLE NC
28518-7535
US

IV. Provider business mailing address

475 EDMUND BRINSON RD
BEULAVILLE NC
28518-7535
US

V. Phone/Fax

Practice location:
  • Phone: 910-265-7012
  • Fax:
Mailing address:
  • Phone: 910-265-7012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPO23521
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: