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Individual

WILLIAM ANTHONY KENDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
911 SOUTH BY PASS ROAD, PIKEVILLE, KY 41501
(606) 432-1357
(606) 432-2457
Mailing address
PO BOX 2648, PIKEVILLE, KY 41502-2648
(606) 432-1357
(606) 432-2457

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31666
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000047640
ANTHEM
KY
05
0221624000
WV
01
0958131
UMWA GROUP NUMBER
01
50002467
PASSPORT
KY
05
64316664
KY
Enumeration date
08/29/2006
Last updated
07/08/2007
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