Individual
KENDALL C. SIDUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
(505) 272-2374
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
(505) 272-2374
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2025-0118
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/30/2025
Last updated
06/12/2025
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