Individual
DR. JONATHAN ANDREW KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
613 23RD ST STE 130, ASHLAND, KY 41101-2876
(606) 329-9335
(606) 324-6383
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-4775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R1439
KY
207RN0300X
Nephrology Physician
Primary
42870
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3133102
—
OH
05
—
3810019804
—
WV
05
—
7100146720
—
KY
Enumeration date
07/16/2008
Last updated
03/03/2022
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