Provider Demographics
NPI:1730342452
Name:SIMS, KENDRA SNOW (DC)
Entity type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:SNOW
Last Name:SIMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WILDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MCFADDEN
Mailing Address - State:WY
Mailing Address - Zip Code:82083-9999
Mailing Address - Country:US
Mailing Address - Phone:307-326-3324
Mailing Address - Fax:307-326-3326
Practice Address - Street 1:106 WEST ROCHESTER
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:WY
Practice Address - Zip Code:82331-9999
Practice Address - Country:US
Practice Address - Phone:307-326-3324
Practice Address - Fax:307-326-3326
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor