# KENDALL P. TABOR, D.P.M

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUPERIOR PODIATRY ASSOCIATES, P.L.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053597914
- **Authorized official:** DR. KENDALL P TABOR D.P.M. (OWNER/PODIATRIST)
- **Authorized official phone:** (906) 225-7709

## Contact information

- **Practice address:** 1414 W FAIR AVE, STE 215, MARQUETTE, MI 49855-2675
- **Practice address phone:** (906) 225-7709
- **Practice address fax:** (906) 225-7707
- **Mailing address:** 1414 W FAIR AVE, STE 215, MARQUETTE, MI 49855-2675
- **Mailing address phone:** (906) 225-7709
- **Mailing address fax:** (906) 225-7707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901001089 | MI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5901001089 | MI | — |

## Other

- **Enumeration date:** 01/10/2008
- **Last updated:** 12/20/2011