Individual provider · Type 1 NPI

Kendall Jane Booker

Student in an Organized Health Care Education/Training Program · Crossett, AR

NPI number 1356195804 Active

Practice location

1015 Unity Rd
Crossett, AR 71635-9443

Mailing address

11500 German Rd
Little Rock, AR 72206-4829

Other practice locations

  • 521 Jack Stephens Dr, Little Rock, AR 72205-5524 · (501) 686-6560

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

23 other providers at this address

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About NPI 1356195804

Kendall Jane Booker's National Provider Identifier is 1356195804, issued on Apr 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Crossett, AR. The record was last updated on Apr 29, 2024.