Individual
DEVON N KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-3634
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01072549A
IN
207R00000X
Internal Medicine Physician
0T012496E5
VA
207R00000X
Internal Medicine Physician
51577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201160510
—
IN
Enumeration date
06/18/2008
Last updated
01/09/2017
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