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Individual
ADA L KENDALL
Active
Individual
ADA L KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301064136
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F36132
BCBS
MI
05
—
3390670
—
MI
Enumeration date
06/06/2006
Last updated
10/22/2020
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