Provider Demographics
NPI:1609541796
Name:HITT, KENDELL WILBERT (FNP-BC)
Entity type:Individual
Prefix:
First Name:KENDELL
Middle Name:WILBERT
Last Name:HITT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:KENDELL
Other - Middle Name:LEE
Other - Last Name:WILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 WELLNESS WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2156
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:2125 RIVER RD STE 201
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1110
Practice Address - Country:US
Practice Address - Phone:518-831-8530
Practice Address - Fax:518-831-8545
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348049363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily