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Individual
DR. KENDIS ARCHER
Active
Individual
DR. KENDIS ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
2010040907
MO
208D00000X
General Practice Physician
Primary
ME125164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010040907
MEDICAL LICENSE
MO
01
—
ME125164
MEDICAL LICENSE
FL
Enumeration date
05/14/2007
Last updated
07/10/2021
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