Provider Demographics
NPI:1922824481
Name:BELL, KENDRA ANTOINA
Entity type:Individual
Prefix:MS
First Name:KENDRA
Middle Name:ANTOINA
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KENDRA
Other - Middle Name:ANTOINA
Other - Last Name:FELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1592 CARTER RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29472-5832
Mailing Address - Country:US
Mailing Address - Phone:843-901-1438
Mailing Address - Fax:
Practice Address - Street 1:1592 CARTER RD
Practice Address - Street 2:
Practice Address - City:RIDGEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29472-5832
Practice Address - Country:US
Practice Address - Phone:843-901-1438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist