Provider Demographics
NPI:1306466842
Name:HENDON, KATHRYN KIVETT (NP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:KIVETT
Last Name:HENDON
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:7209 HALEY INDUSTRIAL DR STE 210
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-9672
Mailing Address - Country:US
Mailing Address - Phone:615-319-6751
Mailing Address - Fax:615-283-1541
Practice Address - Street 1:7209 HALEY INDUSTRIAL DR STE 210
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-9672
Practice Address - Country:US
Practice Address - Phone:615-319-6751
Practice Address - Fax:615-283-1541
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-24
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN204772163W00000X
TN30581363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse