Kendall Dorie
Nurse Practitioner, Family in Piedmont, SC. Individual provider (NPI-1).
NPI number1164081253
StatusActive
Last updated in NPPESJul 28, 2021
Details
- NPI
- 1164081253
- Entity type
- Individual (NPI-1)
- Name
- Kendall Dorie
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2019
- Certification date
- Jul 28, 2021
- Last updated
- Jul 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 23300 | SC | Yes |
Practice location
206 Wall StPiedmont, SC 29673-6754
Phone 864-269-7950
Mailing address
206 Wall StPiedmont, SC 29673-6754
Phone 864-269-7950
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