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Individual
BRIAN W KENDALL
Active
Individual
BRIAN W KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23476
RI
207R00000X
Internal Medicine Physician
Primary
23476
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000060163129
UNISON
SC
01
—
20039168
FIRST CHOICE
SC
01
—
4209804
CIGNA
SC
01
—
7854405
AETNA
SC
05
—
T77191
—
SC
Enumeration date
12/16/2005
Last updated
12/07/2009
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