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Individual

DR. KENDRA K. SCIPIONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
Mailing address
7080 SW PALMER WAY, BEAVERTON, OR 97007-5153
(800) 424-3672
(954) 377-3042

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD175666
OR
207P00000X
Emergency Medicine Physician
Primary
ME67213
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26785
BLUE SHIELD OF FL
FL
05
377962900
FL
01
MD175666
OREGON MEDICAL LICENSE
OR
Enumeration date
06/14/2006
Last updated
02/09/2017
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