MRS. KENDYL WASHBURN MIEDEMA PA
NPI 1033415203
Physician Assistant in Little Rock, AR

Q: What is Kendyl Miedema's NPI number?

The NPI number for Kendyl Miedema is 1033415203. It was assigned to this individual provider in the NPPES registry on February 4, 2011. The provider is also known as Kendyl Bryan.

Q: What is Kendyl Miedema's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kendyl Miedema was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2011

9601 BAPTIST HEALTH DR STE 860, LITTLE ROCK, AR 72205(501) 975-7456(501) 975-1822 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kendyl Washburn Miedema Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KENDYL WASHBURN MIEDEMA PA (NPI 1033415203) is an individual physician assistant in Little Rock, Arkansas, licensed in Arkansas (PA-426) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1033415203

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. KENDYL WASHBURN MIEDEMACredential: PA

Location Address9601 BAPTIST HEALTH DR STE 860Little Rock, AR 72205-6375

Mailing Address9601 Baptist Health Dr Ste 860Little Rock, AR 72205-6375 · (501) 975-7455 · Fax (501) 975-3631

Phone(501) 975-7456

Fax(501) 975-1822

Sole ProprietorNo

Enumeration DateFebruary 4, 2011

Last NPPES UpdateOctober 19, 2018

✔ NPI 1033415203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AR · PA-426

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA-426 (AR)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA-426 (AR)

9601 BAPTIST HEALTH DR STE 860, Little Rock, AR 72205

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Other Names 1

Former Name (1)Kendyl Bryan

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL FREDERICK OSLEBER MD

Dermatology (MOHS-Micrographic Surgery)