Individual
DR. KENDALL P. TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, FACFS
Contact information
Practice address
1414 W FAIR AVE, STE 215, MARQUETTE, MI 49855-2675
(906) 225-7709
(906) 225-7707
Mailing address
515 HOWARD ST, STE 215, KALAMAZOO, MI 49008-1917
(269) 385-1000
(269) 385-5120
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001089
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901001089
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053597914
NPPES
MI
05
—
2126020
—
MI
Enumeration date
06/27/2005
Last updated
10/14/2016
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