Individual
KENDOL KIRK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(404) 605-5478
Mailing address
100 RAWLINS DR, NANTICOKE PHYSICIAN NETWORK, SEAFORD, DE 19973-5881
(302) 629-6611
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
88074
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C1-0011593
DE
207RP1001X
Pulmonary Disease Physician
C1-0011593
DE
Other
Enumeration date
07/01/2013
Last updated
07/28/2021
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