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Individual
KENDRICK NG
Active
Individual
KENDRICK NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A8095
CA
207R00000X
Internal Medicine Physician
Primary
20A8095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX80950
—
CA
05
—
GR0101100
—
CA
Enumeration date
02/15/2006
Last updated
01/23/2008
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