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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENDRA TERRELL FOOTMAN, LPN

Active Sole Proprietor

Licensed Practical Nurse · CENTRAL ISLIP, NY

Registration Details

NPI Number
1750683595
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2010 (15.404356678144 yrs)
Last Updated
Nov 30, 2010
License
284107 (NY)
Sole Proprietor
Yes

Practice Information

Address
150 BRIER ST
CENTRAL ISLIP, NY, 117223939
Browse NY providers · Browse ZIP 11722
Phone
6319601978
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in CENTRAL ISLIP, NY

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.