Individual
STEVEN HOMER KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAS
Contact information
Practice address
107 E OAK AVE, FLAGSTAFF, AZ 86001-1818
(928) 779-7880
(928) 779-7895
Mailing address
125 W SAINT GEORGE BLVD APT 27, ST GEORGE, UT 84770-1302
(817) 454-3521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8285
AZ
Other
Enumeration date
07/16/2019
Last updated
01/27/2021
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