| Doctor Name: | KENDRA REA BUDKA |
| NPI Number: | 1043364896 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 598693 |
| Business Practice Address: | 11807 Whittier Blvd Whittier, CA - 906013941 |
| Business Phone Number: | 5624637742 |
| Business Fax Number: | 5624630746 |
| Mailing Address: | 13678 Sycamore Dr, WHITTIER |
| State: | CA |
| Postal Code: | 906013847 |
| Phone Number: | 5629072386 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 598693 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |