Individual
KENDALL RILEY STEADMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(386) 405-6366
Mailing address
8524 SW 68TH RD, GAINESVILLE, FL 32608-5696
(386) 405-6366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134411762
—
FL
Enumeration date
05/16/2011
Last updated
10/01/2015
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