KENDRA MCKIBLE (NPI# 1174090062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174090062 |
| Entity Type | Individual |
| Full Name | KENDRA MCKIBLE |
| Credential | PA |
| Practice Address |
9 Washington Pl Ste 204 Bedford NH 03110-6750 |
| Mailing Address |
190 Platts Ave Manchester NH 03109-4721 |
| Practice Telephone | 6036255744 |
| Practice Fax Number | 6036063049 |
| Mailing Telephone | 6037481883 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1478 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 253 Pleasant St, Concord, NH 033017560 | 6032262200 | |
| 190 Platts Ave, Manchester, NH 031094721 | 6037481883 |
| Street Address |
9 WASHINGTON PL STE 204 |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619302056 | Ergen Muso | Internal Medicine | 9 Washington Pl Ste 204, Bedford, NH 03110-6750 | 2013-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1336652833 | Alyssa Ilg | Physician Assistant | 1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936 | 2017-11-07 |
| 1023334562 | Joseph Mangum | Physician Assistant | 5 Washington Place, Suite 1b, Bedford, NH 03110 | 2010-04-08 |
| 1033358759 | Christopher G. Carter | Physician Assistant | 7 Pinewood Ter, Bedford, NH 03110-5537 | 2009-02-19 |
| 1851416986 | Deanne Marie Chapman | Physician Assistant | 20 Washington Pl Fl 2, Bedford, NH 03110-6706 | 2007-03-20 |
| 1780736777 | Ronald E Ochoa | Physician Assistant | 88 Center Rd Ste 360, Bedford, OH 44146-2711 | 2007-01-18 |
| 1811937113 | Leah Ann Franks | Physician Assistant | 1368 American Way, Bedford, VA 24523-2940 | 2006-06-07 |
| 1326006834 | Michael G Clark | Physician Assistant | 1305 Airport Fwy Ste 305, Bedford, TX 76021-6604 | 2006-05-03 |
| 1740265560 | Kirstin Dawn Pickens | Physician Assistant | 2425 Hwy 121, Bedford, TX 76021 | 2005-12-14 |
| 1861053241 | Morgan Copeland | Physician Assistant | 1701 Park Place Ave, Bedford, TX 76022-6033 | 2019-06-26 |
| Find all providers in BEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.