MANDIE BOLTON KENDER (NPI# 1194034579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194034579 |
| Entity Type | Individual |
| Full Name | MANDIE BOLTON KENDER |
| Practice Address |
1740 Livingston Ave West Saint Paul MN 55118-3912 |
| Mailing Address |
11 Marquette Ave #601 Minneapolis MN 55401 |
| Practice Telephone | 6514572248 |
| Mailing Telephone | 6122324321 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
179584 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1740 LIVINGSTON AVE |
| City | WEST SAINT PAUL |
| State | MN |
| Zip Code | 55118-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764428 | Able Solutions LLC | Day Training, Developmentally Disabled Services | 260 E Wentworth Ave Suite 112, St Paul, MN 55118 | 2019-08-03 |
| 1861059974 | Tanya F Langford | Massage Therapist | 3627 Cedar Ave No., 1166 S Robert St. St. Paul West, St. Paul, MN 55118 | 2019-05-23 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1538643424 | Marcus James Rohrbauck | Social Worker | 1312-1314 Livingston Avenue, West St. Paul, MN 55118 | 2018-09-18 |
| 1609394287 | Eric Graham Dorr | Pharmacist | 149 Thompson Ave East, Suite 150, West Saint Paul, MN 55118 | 2017-09-05 |
| 1518485242 | Meaghan Claire Puckett | Marriage & Family Therapist | 33 Wentworth Ave E Ste 210, West St Paul, MN 55118 | 2017-09-01 |
| 1174078307 | Michal Frank | Counselor | 240 Dakota St, West Saint Paul, MN 55118 | 2016-08-17 |
| 1184011868 | Rachel Devries | Pediatrics | 1880 Livingston Ave Ste 102, West St Paul, MN 55118 | 2015-04-21 |
| 1124411772 | Ahmed Salad Associates | Dentist | 1200 S Robert St, Suite C, St Paul, MN 55118 | 2015-03-06 |
| 1225458458 | Shellea J Altman | Dentist | 576 High Ridge Circle, Mendota Heights, MN 55118 | 2014-04-28 |
| Find all providers in zip 55118 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801221197 | Angela Sip | Psychologist | 2202 Lyndale Ave N, Minneapolis, MN 55411-2737 | 2013-09-05 |
| 1689795015 | Phillip B Haber | Psychologist | 155 5th Ave S, Suite 450, Minneapolis, MN 55401-2540 | 2007-04-03 |
| 1790953495 | Abby D. Howard | Psychologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2008-02-15 |
| 1861513202 | Judy K Ayers | Psychologist | 155 5th Ave S, Suite 450, Minneapolis, MN 55401-2540 | 2007-04-03 |
| 1831220748 | Pathways Counseling Center, Inc. | Psychologist | 1919 University Ave W, Suite 6, Saint Paul, MN 55104-3453 | 2007-03-09 |
| 1124129382 | Gary Michael Goldetsky | Psychologist | 515 Delaware St Se, Tmd Clinic, Minneapolis, MN 55455-0357 | 2006-09-26 |
| City | WEST SAINT PAUL |
| Zip Code | 55118 |
Please comment or provide details below to improve the information on MANDIE BOLTON KENDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.