Individual
DR. KENDAL M ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 TELESTAR CT, FALLS CHURCH, VA 22042-1205
(703) 280-5858
(703) 849-0874
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101269539
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2012
Last updated
10/31/2021
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