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Individual

LEE G KENDALL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10 HIGH ST, STE 204, LEWISTON, ME 04240-7640
(207) 784-1699
(207) 784-7554
Mailing address
10 HIGH ST, STE 204, LEWISTON, ME 04240-7640
(207) 784-1699
(207) 784-7554

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
012389
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002140
ANTHEM BCBS
ME
01
010431854001
ANTHEM BCBS
ME
05
118720000
ME
Enumeration date
10/11/2005
Last updated
10/01/2012
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