| Holly Kendrigan, Inc. | |
|
125 W Indiantown Rd Ste 106 Jupiter FL 33458-3539 | |
| (561) 371-2374 | |
| Not Available |
| Full Name | Holly Kendrigan, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 125 W Indiantown Rd Ste 106, Jupiter, Florida |
| Authorized Official Name and Position | Holly Kendrigan (OWNER) |
| Authorized Official Contact | 5613712374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Kendrigan, Inc. 102 Egret Dr Jupiter FL 33458-8897 Ph: (561) 371-2374 | Holly Kendrigan, Inc. 125 W Indiantown Rd Ste 106 Jupiter FL 33458-3539 Ph: (561) 371-2374 |
| NPI Number | 1548918741 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Medicare PECOS PAC ID | 0547657769 |
|---|---|
| Medicare Enrollment ID | O20220418001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548918741 | NPI | - | NPPES |
| SW5740 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Holly Kendrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962554337 PECOS PAC ID: 0547328585 Enrollment ID: I20081021000347 |
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