Individual
ANDREA KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26850 PROVIDENCE PKWY STE 455, NOVI, MI 48374-1265
(248) 465-4847
(248) 465-4063
Mailing address
26850 PROVIDENCE PKWY STE 455, NOVI, MI 48374-1265
(248) 465-4847
(248) 465-4063
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301114966
MI
208000000X
Pediatrics Physician
Primary
4301504863
MI
Other
Enumeration date
06/27/2018
Last updated
09/08/2021
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