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Organization

ROBERT KENDELL D.O.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHELLY M HORINA CPC (OFFICE MNGR/BILLER)
(231) 779-6260
Entity
Organization

Contact information

Practice address
8872 PROFESSIONAL DR, SUITE A, CADILLAC, MI 49601-8481
(231) 779-6260
(231) 779-6264
Mailing address
8872 PROFESSIONAL DR, SUITE A, CADILLAC, MI 49601-8481
(231) 779-6260
(231) 779-6264

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
5101012647
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4224164
MI
Enumeration date
11/17/2010
Last updated
02/14/2011
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