Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kendyl Washburn Miedema, PA

Individual provider Medical Physician Assistant · NPI 1033415203

Mrs. Kendyl Washburn Miedema, PA is a Medical Physician Assistant in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2011.

Licensed in
AR
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9601 Baptist Health Dr Ste 860
Little Rock, AR 72205-6375
Phone: (501) 975-7456
Fax: (501) 975-1822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-426 (AR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-426 (AR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-426 (AR)

Record details

NPI number1033415203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 4, 2011
Last updated in NPPESOctober 19, 2018

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