Individual
KENDRICK B BASHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 GRAHAM RD, SUITE B, CUYAHOGA FALLS, OH 44223-1205
(330) 923-0553
(330) 923-0556
Mailing address
40 MUNROE FALLS AVE, MUNROE FALLS, OH 44262-1538
(330) 923-0553
(330) 923-0556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35063767B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156876
—
OH
Enumeration date
06/10/2005
Last updated
03/07/2018
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