Individual
ZACHARY W. KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S1149
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403540403
—
TX
01
—
403540404
CSHCN
TX
Enumeration date
04/30/2017
Last updated
06/21/2024
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