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Individual

DR. CRAIG L KENDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
305 1ST AVE S, ELLENDALE, ND 58436-0159
(701) 349-4727
(701) 349-3033
Mailing address
PO BOX 159, ELLENDALE, ND 58436-0159
(701) 349-4727
(701) 349-3033

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
434
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015054
ND
05
7602400
SD
01
S1179
RR MEDICARE
Enumeration date
08/31/2006
Last updated
02/05/2008
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