Individual
JOANIE RUTH KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 E MARKS ST, ORLANDO, FL 32803-3819
(407) 284-6460
(407) 284-6461
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(407) 284-6461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8468
MEDICARE
FL
Enumeration date
11/12/2018
Last updated
04/20/2022
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