| Doctor Name: | MRS. KENDRA PAUL PATRICK |
| NPI Number: | 1225388929 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | AP07070 |
| Business Practice Address: | 14224 Felicity Drive Baker, LA - 70714 |
| Business Phone Number: | 2254543744 |
| Business Fax Number: | |
| Mailing Address: | 14224 Felicity Dr, BAKER |
| State: | LA |
| Postal Code: | 707145420 |
| Phone Number: | 2254543744 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2012 |
| NPI Last Update Date: | 05/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | AP07070 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |