Individual
DR. KENDRICK D MCARTHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
21 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 939-2616
(239) 939-9093
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS9276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014715000
—
FL
01
—
1261702
WELLCARE
FL
05
—
270636900
—
FL
01
—
294587
AVMED
FL
01
—
48207
BCBS
FL
01
—
6862123
CIGNA
FL
01
—
7870557
AETNA
FL
01
—
P00855
FREEDOM
FL
01
—
P01618515
RR MEDICARE
FL
01
—
P01704528
CLEAR HEALTH ALLIANCE
FL
01
—
P947106
OPTIMUM
FL
Enumeration date
08/11/2005
Last updated
11/15/2016
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