MS. SUSAN RENNAE KIRKENDALL MS,AADC
NPI 1760967400
Counselor - Addiction (Substance Use Disorder) in Bridgeport, WV
About Ms. Susan Rennae Kirkendall Ms,aadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SUSAN RENNAE KIRKENDALL MS,AADC (NPI 1760967400) is an individual addiction (substance use disorder) provider in Bridgeport, West Virginia, licensed in West Virginia (98-302) and active in the NPI registry since September 2018. She maintains a secondary practice location in Morgantown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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.
BRIDGEPORT, WV 26330
BRIDGEPORT, WV 26330
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 Susan Kirkendall's NPI number?
The NPI number for Susan Kirkendall is 1760967400. It was assigned to this individual provider in the NPPES registry on September 28, 2018.
Where is Susan Kirkendall located?
Susan Kirkendall practices at 527 Medical Park Dr, Bridgeport, WV 26330. The listed phone number is (304) 933-3884.
What is Susan Kirkendall's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Susan Kirkendall was last updated on September 28, 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.
# Ms. Susan Rennae Kirkendall, MS,AADC · NPI 1760967400
Addiction (Substance Use Disorder) provider in Bridgeport, West Virginia. Individual provider, active in the CMS NPPES registry since September 28, 2018.
## Identity
- **NPI:** 1760967400 (Entity type: Individual)
- **Enumerated:** September 28, 2018
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 98-302 (West Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 527 MEDICAL PARK DR, Bridgeport, WV 26330-9008
- **Phone:** (304) 933-3884
## Record status
- **NPPES last updated:** September 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1760967400) · Data from the CMS NPPES public registry.