Dodie Lynn Kirkendoll

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3005707 Issued in KY

Legal business name

DODIE LYNN KIRKENDOLL

Doing business as

Advanced Family Medicine

Practice address

2315 Mayfair Dr
Suite 9
Owensboro, KY 42301-4557

Phone

(270) 316-1063

NPI assigned

Aug 13, 2012

Last updated

Jan 29, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dodie L Kirkendoll, ARNP

Title

Owner

Phone

(270) 316-1063

Specialties & licenses 1

Addresses

Other names 1

• Advanced Family Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1518214253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MAYFAIR DR",
            "address_2": "SUITE 9",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014557",
            "telephone_number": "270-316-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MAYFAIR DR",
            "address_2": "SUITE 9",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014557",
            "telephone_number": "270-316-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODIE LYNN KIRKENDOLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "KIRKENDOLL",
        "authorized_official_first_name": "DODIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-316-1063",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Dillow, MA, NCC, LPCC
• Discovery Therapy
• Heather Ditto, APRN
• Roderick V. Dizon, M.D.
• DME LLC (Happy Feet)
• Theresa Dollins, RD, LD
• Linda M Domerese, DMIN, LPCC
• Christina Robin Donahue, MSW, CSW
• Donald R Neel, MD
• James B Donaldson, LPCC

• Family Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.