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NPI Code Detail

MEDICARE: MS. SHALONDA RAYNE KENDALL STNA

MEDICARE:  MS. SHALONDA RAYNE KENDALL  STNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's Aide400866940209OH

General Provider Information

NPI Number : 1255779559
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHALONDA RAYNE KENDALL STNA
Provider Business Mailing Address
First Line : 3420 WINTER LANE PARK
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-7517
Country : US
Telephone Number : 614-649-3344
Fax Number :
Provider Business Practice Location Address
First Line : 3420 WINTER LANE PARK
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-7517
Country : US
Telephone Number : 614-649-3344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2013
Last Update Date : 06/07/2013

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Directions to “ MS. SHALONDA RAYNE KENDALL STNA” Practice Location

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