Healthcare Provider Details

I. General information

NPI: 1144026246
Provider Name (Legal Business Name): KENDALL KUYKENDALL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 N FRONTAGE RD
VALLEY VIEW TX
76272-9227
US

IV. Provider business mailing address

493 N RADIO HILL RD
GAINESVILLE TX
76240-7635
US

V. Phone/Fax

Practice location:
  • Phone: 940-726-5750
  • Fax:
Mailing address:
  • Phone: 940-634-7731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1022105
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: