Individual
KEITH S KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
700 MOUNT HOPE AVE STE 620, BANGOR, ME 04401-5671
(207) 947-2220
(207) 947-4073
Mailing address
700 MOUNT HOPE AVE STE 620, BANGOR, ME 04401-5671
(207) 947-2220
(207) 947-4073
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD 1057
ME
213E00000X
Podiatrist
Primary
POD1057
ME
213ES0000X
Sports Medicine Podiatrist
POD 1057
ME
213ES0103X
Foot & Ankle Surgery Podiatrist
POD 1057
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431970899
—
ME
Enumeration date
03/08/2006
Last updated
04/26/2019
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