Individual
KENDRICK DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9400 N NAME UNO, GILROY, CA 95020-3528
(408) 848-2000
Mailing address
915 BOWEN AVE, SAN JOSE, CA 95123-5303
(408) 387-3021
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95183835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95183835
CA BOARD OF REGISTERED NURSES
CA
Enumeration date
03/17/2020
Last updated
03/17/2020
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