Kendra Vanness, | |
1720 Central Ave E, Hampton, IA 50441-1869 | |
(641) 456-5034 | |
Not Available |
Full Name | Kendra Vanness |
---|---|
Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 1720 Central Ave E, Hampton, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205482288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 296914 (California) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | (Iowa) | Primary |
Provider Name | Permanente Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Kendra Vanness, 634 170th St, Latimer, IA 50452-7510 Ph: (641) 580-0557 | Kendra Vanness, 1720 Central Ave E, Hampton, IA 50441-1869 Ph: (641) 456-5034 |
Trina Stone, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1720 Central Ave E, Hampton, IA 50441 Phone: 641-456-5034 Fax: 641-456-5801 | |
Ian Malaby, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Central Ave E, Hampton, IA 50441 Phone: 641-456-5034 | |
Keith Wayne Wrich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Central Ave E, Hampton, IA 50441 Phone: 641-456-5034 Fax: 641-456-5801 |