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Contact Information

MANDIE BOLTON KENDER
1740 LIVINGSTON AVE
WEST SAINT PAUL, MN55118-3912
 Phone: 651-457-2248
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MANDIE BOLTON KENDER · (Female)

NPI Number 1194034579
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2010
Last updated 10/01/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 179584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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