Individual
JULIA KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 230-1683
(985) 230-6652
Mailing address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 230-1683
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
261386
MA
207L00000X
Anesthesiology Physician
303689
LA
207L00000X
Anesthesiology Physician
84071
SC
208600000X
Surgery Physician
137230
CA
208600000X
Surgery Physician
253445
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110200504A
—
MA
Enumeration date
05/20/2011
Last updated
02/01/2025
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