Individual
DR. KENDIS ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4720 SILENT CREEK LN, TALLAHASSEE, FL 32303-8946
(772) 801-9885
Mailing address
4720 SILENT CREEK LN, TALLAHASSEE, FL 32303-8946
(772) 801-9885
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
2010040907
MO
208D00000X
General Practice Physician
Primary
ME125164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010040907
MEDICAL LICENSE
MO
01
—
ME125164
MEDICAL LICENSE
FL
Enumeration date
05/14/2007
Last updated
07/10/2021
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