Organization
DR CHARLES A KENDALL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A KENDALL MD (INTERNAL MEDICINE)
(816) 252-7800
Entity
Organization
Contact information
Practice address
10010 E TRUMAN RD, INDEPENDENCE, MO 64052-2160
(816) 252-7800
(816) 228-8768
Mailing address
PO BOX 785, BLUE SPRINGS, MO 64013-0785
(816) 228-8768
(816) 228-8768
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
R2119
MO
305R00000X
Preferred Provider Organization
Primary
R2119
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40065013
BCBS OF KANSAS CITY
MO
Enumeration date
05/27/2008
Last updated
08/07/2008
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