Kendle, Eric Davis

Kendle, Eric Davis is an individual health care provider with primary practice located at 77 W Forest Ave Suite 202, Flagstaff AZ 86001-1479. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Kendle, Eric Davis can be contacted via phone (928) 773-2500.

Contact Information

Primary practice address
77 W Forest Ave Suite 202 Flagstaff AZ 86001-1479
Phone: (928) 773-2500
Fax: (928) 773-2502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22280 Arizona
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 22280 Arizona

Profile Details

NPI number 1407944416
LBN Legal business name Kendle, Eric Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Apr 23rd, 2008 - about 17 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 1407944416 NPPES
Arizona MEDICAID 350687

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