Individual
DR. DOROTHY F. KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 534-2328
(803) 531-8419
Mailing address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 534-2328
(803) 531-8419
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
SC14484
SC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
SC14484
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570609170
FACILITY IRS TAXPAYER ID NUMBER
SC
Enumeration date
09/06/2006
Last updated
01/10/2013
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