Individual
STEVEN F KENDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12502 WILLOWBROOK RD STE 380, CUMBERLAND, MD 21502-6592
(240) 964-8585
(240) 964-8586
Mailing address
PO BOX 1671, CUMBERLAND, MD 21501-1671
(240) 964-8342
(240) 964-8337
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35-087235
OH
2084P0800X
Psychiatry Physician
54592
TN
2084P0800X
Psychiatry Physician
Primary
D94571
MD
2084P0800X
Psychiatry Physician
MD2022-0116
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391333
ANTHEM
OH
05
—
2640342
—
OH
01
—
3714470
GROUP MEDICARE
TN
Enumeration date
06/30/2006
Last updated
06/13/2022
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