Kendal Suzanne Carroll
Nurse Practitioner, Family in Crystal River, FL. Individual provider (NPI-1).
NPI number1336077593
StatusActive
Last updated in NPPESAug 25, 2026
Details
- NPI
- 1336077593
- Entity type
- Individual (NPI-1)
- Name
- Kendal Suzanne Carroll
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2026
- Certification date
- Aug 25, 2026
- Last updated
- Aug 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11050400 | FL | Yes |
Practice location
6410 W Gulf To Lake HwyCrystal River, FL 34429-7622
Phone 352-563-2450
Mailing address
20693 Powell RdDunnellon, FL 34431-6516
Phone 352-229-1243
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All 32 Family Nurse Practitioner providers in Crystal River · All 697 providers in Crystal River
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