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Individual

DR. KENDALL S BOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 WILLMAR AVE SW, WILLMAR, MN 56201
(320) 231-5000
(320) 231-5067
Mailing address
101 WILLMAR AVE SW, WILLMAR, MN 56201
(320) 231-5000
(320) 231-5067

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42483
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
557423400
MN
Enumeration date
02/28/2006
Last updated
11/01/2022
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