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Individual

KEITH S KENDALL

Active
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Individual

KEITH S KENDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD 1057
ME
213E00000X
Podiatrist
Primary
POD1057
ME
213ES0000X
Sports Medicine Podiatrist
POD 1057
ME
213ES0103X
Foot & Ankle Surgery Podiatrist
POD 1057
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431970899
—
ME
Enumeration date
03/08/2006
Last updated
04/26/2019
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