Individual
MERY A KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 E COUNTY LINE RD, SUITE B, GREENWOOD, IN 46143-1046
(317) 497-6333
(317) 497-6334
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01066320A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652750
ANTHEM
IN
01
—
000000680971
ANTHEM
IN
05
—
200964080
—
IN
01
—
P01157049
RR MEDICARE PTAN
IN
Enumeration date
02/25/2008
Last updated
11/27/2023
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