Individual
MR. CHARLES MARTIN KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 SKYLINE BLVD, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 879-9167
Mailing address
512 SKYLINE BLVD, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 879-9167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34533
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
966380100
—
MN
Enumeration date
10/04/2005
Last updated
12/11/2020
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