Individual
KENDALL F ROPER
Active
Individual
KENDALL F ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA481
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA481
STATE PA LICENSE
AL
Enumeration date
10/16/2006
Last updated
09/14/2011
Update your record
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