Individual
DR. KENDALL ALEXANDER TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-2000
(904) 639-2015
Mailing address
2211 HUNTER CT, COLUMBUS, GA 31907-3782
(404) 374-7332
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
95610
GA
Other
Enumeration date
03/31/2020
Last updated
07/08/2023
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