Individual
KENDRA N VONDEREMBSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
425 W GRAND AVE STE 3003, DAYTON, OH 45405-4722
(937) 294-3603
(937) 294-3612
Mailing address
425 W GRAND AVE STE 3003, DAYTON, OH 45405-4722
(937) 294-3603
(937) 294-3612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.012508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190281
—
OH
Enumeration date
03/28/2013
Last updated
11/16/2020
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