Individual provider · Type 1 NPI
Kevin Pendlebury, CDE
Diabetes Educator Registered Nurse · Fort Hall, ID
NPI number
1528209129
Active
Practice location
Mission Rd
Fort Hall, ID 83203-0306
Fax (208) 238-5462
Mailing address
PO Box 306
Fort Hall, ID 83203-0306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | N31309 (ID) |
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 2061-0302 (IL) |
Diabetes Educator Registered Nurse: Definition to come...
6 other providers at this address
- Fort Hall Indian Health ServicesFederal Public Health Clinic/Center Fort Hall, ID NPI 1215192976
- Catherine Tammy Salisbury, R.D.H.Dental Hygienist Fort Hall, ID NPI 1801955042
- Christopher Andrew Nield, ODOptometrist Fort Hall, ID NPI 1881792695
- Deeanne M. Marshall, RNRegistered Nurse Fort Hall, ID NPI 1518021179
- Erin M. BrownleyNutritionist Fort Hall, ID NPI 1073754677
- Holly J. McGrathPharmacist Fort Hall, ID NPI 1346259355
About NPI 1528209129
Kevin Pendlebury, CDE's National Provider Identifier is 1528209129, issued on Mar 12, 2009. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Fort Hall, ID. The record was last updated on Mar 12, 2009.