Individual
WILLIAM KENNARD RUNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 S. MAIN STREET, SUITE 210, DAYTON, OH 45409-2675
(937) 228-4126
(937) 228-0247
Mailing address
30 E. APPLE ST., STE 5253, DAYTON, OH 45409
(937) 208-2552
(937) 208-4286
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35043493R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413065
—
OH
Enumeration date
02/07/2006
Last updated
12/20/2010
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