Polk, Kendall

Polk, Kendall is an sole proprietor health care provider with primary practice located at 205 Crenshaw Dr , Mansfield TX 76063-3451. He recently has 4 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Allopathic & Osteopathic Physicians / Surgery, Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Polk, Kendall can be contacted via phone (214) 927-6539.

Contact Information

Primary practice address
205 Crenshaw Dr Mansfield TX 76063-3451
Phone: (214) 927-6539
Fax: (817) 394-1231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X SA00635 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X SA00635 Texas
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant 246ZX2200X SA00635 Texas
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X SA00635 Texas

Profile Details

NPI number 1285009803
LBN Legal business name Polk, Kendall
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2015
Last updated Jun 16th, 2018 - about 8 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 1285009803 NPPES
Other 1225495708 NPI

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