# ROBERT KENDELL D.O.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548562978
- **Authorized official:** MRS. SHELLY M HORINA CPC (OFFICE MNGR/BILLER)
- **Authorized official phone:** (231) 779-6260

## Contact information

- **Practice address:** 8872 PROFESSIONAL DR, SUITE A, CADILLAC, MI 49601-8481
- **Practice address phone:** (231) 779-6260
- **Practice address fax:** (231) 779-6264
- **Mailing address:** 8872 PROFESSIONAL DR, SUITE A, CADILLAC, MI 49601-8481
- **Mailing address phone:** (231) 779-6260
- **Mailing address fax:** (231) 779-6264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 5101012647 | MI | Yes |

## Other

- **Enumeration date:** 11/17/2010
- **Last updated:** 02/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4224164 | — | MI |
