1760401590 NPI number — MRS. KENDRA LAUREN HEDRICK M.S., R.D, LD

Table of content: CORENNE RENEE HALL (NPI 1740869718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760401590 NPI number — MRS. KENDRA LAUREN HEDRICK M.S., R.D, LD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HEDRICK
Provider First Name:
KENDRA
Provider Middle Name:
LAUREN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S., R.D, LD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760401590
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1800 ELLISON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WELLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79095-4326
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-205-4022
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1013 15TH ST
Provider Second Line Business Practice Location Address:
COLLINGSWORTH GENERAL HOSPITAL
Provider Business Practice Location Address City Name:
WELLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79095-3703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-447-2521
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  952310 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)