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General NPI Number Information
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NPI Number | 1235568338
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Entity Type | Individual
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Provider Name | KENDRA E JOHNSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 626 N MULLAN RD STE 2
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-3857
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Country | US
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Telephone | 509-795-2025
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Fax | 509-984-4324
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Provider Business Mailing Address
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Address Line | 626 N MULLAN RD STE 2
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-3857
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Country | US
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Telephone | 509-795-2025
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Fax | 509-984-4324
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP60414973
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number | AP6041497
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP60414973
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License Number State | WA
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