Most Relevant Information
Provider Data
| NPI Number: | 1003651050 |
| Provider Name: | KENDRICK BATES |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/29/2024 |
| Last Updated: | 06/29/2024 |
Provider Practice Location
205 E 2ND ST
BLUE EARTH
MN
560131905
Practice Location Phone/Fax
| Phone: | 2282246126 |
| Fax: |
Provider Mailing Location
205 E 2ND ST
BLUE EARTH
MN
560131905
Provider Mailing Phone/Fax
| Phone: | 2282246126 |
| Fax: |