Individual
MARY JO KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 COLUMBUS AVE STE 104, WASHINGTON COURT HOUSE, OH 43160-3701
(614) 268-2748
Mailing address
5300 FAR HILLS AVENUE, DAYTON, OH 45429-2347
(937) 433-7536
(937) 433-9612
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
35.090906
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000605859
ANTHEM BLUE CROSS/BLUE SHIELD
OH
01
—
3626852
UNITED HEALTH CARE
OH
01
—
4905679
AETNA
OH
01
—
9996167
AETNA
OH
Enumeration date
11/09/2006
Last updated
07/17/2025
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