Individual
KENDAL LARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13950 BRANDYWINE RD, BRANDYWINE, MD 20613-5815
(301) 782-2220
Mailing address
12279 BROADSTONE PL, WALDORF, MD 20601-4651
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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