Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN PENDLEBURY, CDE
ActiveKEVIN PENDLEBURY, CDE is a Diabetes Educator Nurse healthcare provider located in FORT HALL, Idaho. NPI 1528209129 is currently active in the NPPES registry. Verify at CMS.
Diabetes Educator Nurse · FORT HALL, ID
Registration Details
- NPI Number
- 1528209129
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2009 (17.429970775076 yrs)
- Last Updated
- Mar 12, 2009
- Licenses
-
N31309 (ID)2061-0302 (IL)
Practice Information
- Address
-
MISSION RDFORT HALL, ID, 832030306Browse ID providers · Browse ZIP 83203
- Phone
- 2082382400
- Fax
- 2082385462
- Primary Specialty
-
Diabetes Educator Nurse
163WD0400X
- Additional Specialty
- Diabetes Educator Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.