Doctor Name: | RICHARD L KENDALL |
NPI Number: | 1285648097 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35062349 |
Business Practice Address: | 135 W Perry St Port Clinton, OH - 434521010 |
Business Phone Number: | 4197327800 |
Business Fax Number: | 4197974843 |
Mailing Address: | 135 W Perry St, PORT CLINTON |
State: | OH |
Postal Code: | 434521010 |
Phone Number: | 4197327800 |
Fax Number: | 4197974843 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 10/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35062349 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |