NPI 1033415203

Kendyl Washburn Miedema, PA

Practitioner Physician Assistant Little Rock, AR

Practice location

Address: 9601 Baptist Health Dr STE 860, Little Rock, AR 72205-6375
Phone: (501) 975-7456
Fax: (501) 975-1822

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-426 (AR)

Other Physician Assistant providers in Arkansas →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-426 (AR)

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA-426 (AR)

Registry record

NPI: 1033415203
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Feb 2011
Record last updated: 19 Oct 2018

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.