Most Relevant Information
Provider Data
| NPI Number: | 1003281726 |
| Provider Name: | KENDRA SHEARER REGISTRED NURSE |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP2201X |
| Specialty: | Registered Nurse |
| License Number: | RN125762 |
Most Important Dates
| Enumeration Date: | 12/07/2015 |
| Last Updated: | 12/07/2015 |
Provider Practice Location
1241 CHANNEL PARK SW
MARIETTA
GA
300643825
Practice Location Phone/Fax
| Phone: | 4044232370 |
| Fax: | 7705737308 |
Provider Mailing Location
1241 CHANNEL PARK SW
MARIETTA
GA
300643825
Provider Mailing Phone/Fax
| Phone: | 4044232370 |
| Fax: | 7705737308 |