Individual
ROBERT THOMAS KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
180 NINTH STREET, SUITE J, JENA, LA 71342-2780
(318) 992-4275
(318) 992-6312
Mailing address
PO BOX 2780, JENA, LA 71342-2780
(318) 992-4275
(318) 992-6312
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
013234
LA
207Q00000X
Family Medicine Physician
Primary
013234
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191825
—
LA
01
—
13234
STATE LICENSE
LA
Enumeration date
02/26/2007
Last updated
09/14/2010
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