Malinda K Kendrick (NPI# 1578550158, PAC ID# 0941104731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578550158 |
| PAC ID by PECOS | 0941104731 |
| Professional Enrollment ID | I20031124000083 |
| Full Name | Malinda K Kendrick |
| Organization Legal Name | SGOH ACQUISITION INC |
| Address |
106 S Hickory St Mount Vernon MO 65712-1407 |
| Phone Number | 4174664110 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092616276 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041331 | OZARKS COMMUNITY HOSPITAL OF GRAVETTE |
| Address | Phone | Organization |
|---|---|---|
| 106 S Hickory St, Mount Vernon, MO 65712-1407 | 4174664110 | SGOH ACQUISITION INC |
| 108 S Hickory St, Mount Vernon, MO 65712-1407 | 4174664110 | SGOH ACQUISITION INC |
| 101 S Main St, Rogersville, MO 65742-9357 | 4177539404 | SGOH ACQUISITION INC |
| Organization Legal Name | SGOH ACQUISITION INC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kristina Chance | Clinical Social Worker | Sgoh Acquisition Inc | 2485 N Main St, Och Jay Family Clinic, Jay, OK 74346-2201 |
| Audrey Anne Hubler | Nurse Practitioner | Sgoh Acquisition Inc | 109 N Broadway St, South West City, MO 64863-9417 |
| Tara N Loveland | Nurse Practitioner | Sgoh Acquisition Inc | 155 Village Dr, Sparta, MO 65753-8104 |
| Amberlyn Casie Logan | Nurse Practitioner | Sgoh Acquisition Inc | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 |
| Thomas E Dahlberg | Family Medicine | Sgoh Acquisition Inc | 101 S Main St, Rogersville, MO 65742-9357 |
| William J Howitt | Family Medicine | Sgoh Acquisition Inc | 1540 E Evergreen St, Springfield, MO 65803-4300 |
| William Mckay | Family Medicine | Sgoh Acquisition Inc | 108 S Hickory St, Mount Vernon, MO 65712-1407 |
| Charles Watt | Geriatric Medicine | Sgoh Acquisition Inc | 106 S Hickory St, Mount Vernon, MO 65712-1407 |
| Dennis Dobard | Psychiatry | Sgoh Acquisition Inc | 2828 N National Ave, Springfield, MO 65803-4306 |
| Jackie S Beene | Family Medicine | Sgoh Acquisition Inc | 112 N Webb St, Webb City, MO 64870-1916 |
| Street Address |
106 S HICKORY ST |
| City | MOUNT VERNON |
| State | MO |
| Zip | 65712-1407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Watt | Geriatric Medicine | Sgoh Acquisition Inc | 106 S Hickory St, Mount Vernon, MO 65712-1407 |
| Robin L Cavero | Nurse Practitioner | Sgoh Acquisition Inc | 106 S Hickory St, Mount Vernon, MO 65712-1407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn C Brown | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 101 W Patterson St, Mount Vernon, MO 65712-1054 |
| Cheryl L Williams | Family Medicine | 1011 S E Buiness Loop, 44 Mt Vernon Clinic, Mt Vernon, MO 65712-1331 | |
| William Mckay | Family Medicine | Sgoh Acquisition Inc | 108 S Hickory St, Mount Vernon, MO 65712-1407 |
| Fernando Cavero | Internal Medicine | Sgoh Acquisition Inc | 108 S Hickory St, Mount Vernon, MO 65712-1407 |
| Lisa Mccoy | Nurse Practitioner | Sgoh Acquisition Inc | 108 S Hickory St, Mt Vernon, MO 65712-1407 |
| Mark V Walters | Chiropractic | 316 W Mount Vernon Blvd, Walters Chiropractic, Mount Vernon, MO 65712-1940 | |
| Lonnie Walters | Chiropractic | Mark V Walters Dc PC | 316 W Mount Vernon Blvd, Mount Vernon, MO 65712-1940 |
| City | MOUNT VERNON |
| Zip Code | 65712 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOUNT VERNON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Malinda K Kendrick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.