Individual
DR. JOSEPH C. KENDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 US HIGHWAY 431 STE 40, BOAZ, AL 35957-5964
(256) 840-4846
(256) 840-4847
Mailing address
2525 US HIGHWAY 431 STE 40, BOAZ, AL 35957-5964
(256) 840-4846
(256) 840-4847
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15295
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000027724
—
AL
01
—
51027724
BLUE CROSS AND BLUE SHIEL
AL
Enumeration date
07/07/2005
Last updated
01/13/2020
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