Individual
RICHARD L KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 W PERRY ST, PORT CLINTON, OH 43452-1010
(419) 732-7800
(419) 797-4843
Mailing address
135 W PERRY ST, PORT CLINTON, OH 43452-1010
(419) 732-7800
(419) 797-4843
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35062349
OH
208D00000X
General Practice Physician
35062349
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0872515
—
OH
01
—
4194361
MEDICARE PTAN
OH
01
—
P00342604
RAILROAD MEDICARE
—
Enumeration date
07/28/2006
Last updated
10/14/2013
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