NPI 1003651050

Kendrick Bates

Practitioner Peer Specialist Blue Earth, MN

Practice location

Address: 205 E 2nd St, Blue Earth, MN 56013-1905
Phone: (228) 224-6126

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003651050
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2024
Record last updated: 29 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.