Individual
DR. KENNON A MCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1200
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
033393
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00466419E
—
GA
05
—
009604590
—
AL
01
—
080054989
RAILROAD MEDICARE
GA
Enumeration date
06/14/2006
Last updated
07/26/2013
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