Individual
MR. BENJAMIN WILSON KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1114 W MADISON AVE, ATHENS, TN 37303-4150
(423) 745-1411
Mailing address
1114 W MADISON AVE, ATHENS, TN 37303-4150
(423) 745-1411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000002203
TN
Other
Enumeration date
04/27/2013
Last updated
04/27/2013
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