Kendyl Durham, PMHNP | |
7017 Christian Loop Unit A, Fort Meade, MD 20755-4538 | |
(972) 370-4846 | |
Not Available |
Full Name | Kendyl Durham |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 7017 Christian Loop Unit A, Fort Meade, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134886682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 50017029 (North Carolina) | Secondary |
Entity Name | Carolina Behavioral Care Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487709861 PECOS PAC ID: 1052387982 Enrollment ID: O20050309000465 |
Mailing Address | Practice Location Address |
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Kendyl Durham, PMHNP 461 21st Ave S, Nashville, TN 37240-1104 Ph: () - | Kendyl Durham, PMHNP 7017 Christian Loop Unit A, Fort Meade, MD 20755-4538 Ph: (972) 370-4846 |
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