Individual
DR. KENDALL EDWARD CARLL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
TRN6843
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M8573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8BW305
BCBS PIN
TX
01
—
P00697462
RAIL ROAD MEDICARE
TX
Enumeration date
10/25/2006
Last updated
02/05/2019
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