Individual
JEREMY S KENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8098
(586) 493-8706
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-0424
(248) 551-5426
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301084369
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310E011330
BCBS MI GROUP PIN
MI
01
—
CI8050
MEDICARE RR GROUP PIN
MI
Enumeration date
05/11/2007
Last updated
06/01/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us