Individual
ROBERT JEROME KENDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8872 PROFESSIONAL DR, CADILLAC, MI 49601-8481
(231) 779-6260
(231) 779-6264
Mailing address
8872 PROFESSIONAL DR, CADILLAC, MI 49601-8482
(231) 779-6260
(231) 779-6264
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
5101012647
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4224164
—
MI
Enumeration date
02/21/2006
Last updated
10/24/2007
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