| Joanna Nicole Kallendorf, CRNP | |
|
193 Oates Dr, Newton, AL 36352-4312 | |
| (334) 299-3592 | |
| (334) 299-3870 |
| Full Name | Joanna Nicole Kallendorf |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 193 Oates Dr, Newton, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295278653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-116722 (Alabama) | Primary |
| Entity Name | Southeast Alabama Rural Health Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891856134 PECOS PAC ID: 8123009057 Enrollment ID: O20040526001591 |
| Entity Name | Southern Alabama Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467701490 PECOS PAC ID: 0345499562 Enrollment ID: O20121003000896 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna Nicole Kallendorf, CRNP 1414 Elba Hwy, Troy, AL 36079-6020 Ph: (334) 670-6726 | Joanna Nicole Kallendorf, CRNP 193 Oates Dr, Newton, AL 36352-4312 Ph: (334) 299-3592 |
Chelsey Renee Ridenour, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 881 Windmill Rd, Newton, AL 36352 Phone: 989-763-3986 | |
Mrs. Judieth Darlene Sims, FNP-BC, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 858 County Road 426, Newton, AL 36352 Phone: 334-714-6415 Fax: 334-556-0049 |