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NPI Code Detail

MEDICARE: KENDALL SIKES WEINERT NP

MEDICARE: KENDALL SIKES WEINERT NP
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
1363LF0000XFamily Nurse Practitioner0024166663VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629030309
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL SIKES WEINERT NP
Provider Business Mailing Address
First Line : 671 HIOAKS RD STE B
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4072
Country : US
Telephone Number : 804-272-5814
Fax Number : 804-560-0232
Provider Business Practice Location Address
First Line : 671 HIOAKS RD STE B
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4072
Country : US
Telephone Number : 804-272-5814
Fax Number : 804-560-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 12/08/2016

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Directions to “ KENDALL SIKES WEINERT NP” Practice Location

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