Individual
KENDALL ERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 W MAIN ST STE 330, TROY, OH 45373-3384
(937) 980-7400
(937) 980-7409
Mailing address
600 W MAIN ST STE 330, TROY, OH 45373-3384
(937) 980-7400
(937) 980-7409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.090038
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2785848
—
OH
Enumeration date
05/14/2007
Last updated
01/12/2021
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