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Individual
MR. KENDALL YAZZIE REDHORSE CHAMBELLAN
Active
Individual
MR. KENDALL YAZZIE REDHORSE CHAMBELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 01658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192935811
—
TX
01
—
794785
MEDICARE
TX
01
—
P02237142
MEDICARE RAIL ROAD
TX
Enumeration date
06/24/2005
Last updated
03/26/2024
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