Individual
MR. ANDRE RAMON KIRKENDOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SURFACE WARFARE MEDICAL INSTITUTE SAN DIEGO, CA 92134, SAN DIEGO, CA 92134-7000
(619) 532-5099
Mailing address
554 S RADIO DR, SAN DIEGO, CA 92114-6571
(619) 675-1861
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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