Kendell, Robert Jerome

Kendell, Robert Jerome is an sole proprietor health care provider with primary practice located at 8872 Professional Dr , Cadillac MI 49601-8481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Kendell, Robert Jerome can be contacted via phone (231) 779-6260.

Contact Information

Primary practice address
8872 Professional Dr Cadillac MI 49601-8481
Phone: (231) 779-6260
Fax: (231) 779-6264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 5101012647 Michigan

Profile Details

NPI number 1366417578
LBN Legal business name Kendell, Robert Jerome
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Oct 24th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366417578 NPPES
Michigan MEDICAID 4224164

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