Individual
DR. MICHAEL WILLIAM KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2990
(980) 442-0908
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9500633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134142433
—
NC
01
—
48428
BCBS
NC
05
—
8948428
—
NC
05
—
N00633
—
SC
Enumeration date
07/26/2006
Last updated
10/20/2022
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