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KENDRA CRUICKSHANK
NPI 1063217206
Technician, Pathology - Phlebotomy in Decatur, GA

Active since February 13, 2025
3576 COVINGTON HWY # 103, DECATUR, GA 30032(470) 518-6287(470) 275-0684 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Feb 13, 2025 (2 updates tracked since 2025).

About Kendra Cruickshank NPPES

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

KENDRA CRUICKSHANK (NPI 1063217206) is an individual phlebotomy provider in Decatur, Georgia and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1063217206
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameKENDRA CRUICKSHANK
Location Address3576 COVINGTON HWY # 103Decatur, GA 30032-1834
Mailing Address3576 Covington Hwy Ste 103Decatur, GA 30032-1834 · (470) 518-6287 · Fax (470) 275-0684
Phone(470) 518-6287
Fax(470) 275-0684
Sole ProprietorNo
Enumeration DateFebruary 13, 2025
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1063217206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
3576 COVINGTON HWY # 103, Decatur, GA 30032
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Cruickshank's NPI number?

The NPI number for Kendra Cruickshank is 1063217206. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Where is Kendra Cruickshank located?

Kendra Cruickshank practices at 3576 Covington Hwy # 103, Decatur, GA 30032. The listed phone number is (470) 518-6287.

What is Kendra Cruickshank's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Kendra Cruickshank was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.