Individual
JOHN LAWRENCE KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35445
CO
207P00000X
Emergency Medicine Physician
Primary
G78548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76787257
—
CO
01
—
930112973
RAILROAD MEDICARE
CO
Enumeration date
07/27/2006
Last updated
03/22/2024
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