SearchWisconsin363LF0000X

Jake Kendall, APNP

NPI 1295104305 · on the registry since 2015

Practice

Address
2500 E Capitol Dr
Appleton, WI 54911
Phone
(920) 830-6788
Fax
(999) 999-9999
Organisation at this address
Morton Drug Co Inc
Valley Urologic Associates
Fox Valley Pulmonary Medicine, Llc
Fox Valley Pulmonary Medicine, S.C.
Radiology Associates Of Appleton, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
129

Additional practice sites

  • 7575 Cockrill Bend Blvd, Nashville, TN
  • W3208 Van Roy Rd, Appleton, WI
  • 1000 W Northland Ave, Appleton, WI

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
TN, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin