Individual
DR. KRISTEN BROOKE KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
610 W 158TH ST, NEW YORK, NY 10032-7104
(212) 544-1880
(212) 544-1870
Mailing address
610 W 158TH ST, NEW YORK, NY 10032-7104
(606) 205-1288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
311014-01
NY
207Q00000X
Family Medicine Physician
H0089976
MD
207Q00000X
Family Medicine Physician
MD048387
DC
Other
Enumeration date
04/13/2017
Last updated
07/13/2021
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