| Doctor Name: | DR. BRIAN A. KENDREGAN |
| NPI Number: | 1841295870 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD14316 |
| Business Practice Address: | 1400 E. Kincaid St. Mount Vernon, WA - 98274 |
| Business Phone Number: | 3604282586 |
| Business Fax Number: | 3604286470 |
| Mailing Address: | 1400 E. Kincaid Street, MOUNT VERNON |
| State: | WA |
| Postal Code: | 982744127 |
| Phone Number: | 3604282500 |
| Fax Number: | 3604286485 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 01/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD14316 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |