Provider Demographics
NPI:1346211950
Name:MCKENDRY, DANIEL FRANK (CRNA)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:FRANK
Last Name:MCKENDRY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3055
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-3055
Mailing Address - Country:US
Mailing Address - Phone:317-614-9850
Mailing Address - Fax:800-731-0751
Practice Address - Street 1:500 N NAPPANEE ST
Practice Address - Street 2:STE 11B
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-1503
Practice Address - Country:US
Practice Address - Phone:574-522-9922
Practice Address - Fax:574-522-9926
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024165744367500000X
IN28206259A367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered