Individual
DR. SAMUEL J KUYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1203 TROTWOOD AVE, COLUMBIA, TN 38401-4886
(931) 388-1181
(931) 381-5302
Mailing address
1203 TROTWOOD AVE, COLUMBIA, TN 38401-4886
(931) 388-1181
(931) 381-5302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
621078139
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007555
BLUE CROSS BLUE SHIELD
—
05
—
3177644
—
TN
Enumeration date
12/17/2006
Last updated
02/19/2008
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