Individual
KENDALL VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-3010
Mailing address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-3010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
70826
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
70826
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2017
Last updated
08/07/2024
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