Individual
DIANNE M. KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
(218) 828-7611
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
(218) 828-7611
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
42419
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450059800
—
MN
Enumeration date
03/09/2006
Last updated
01/08/2016
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