Individual
DR. KENDRA JOY MODELL PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
DUKE BREAST CLINIC 2-2, DURHAM, NC 27710-2986
(919) 681-6604
(919) 470-3209
Mailing address
PO BOX 3513, DURHAM, NC 27702-3513
(910) 272-3048
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2276
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629259254
ANTHEM
ME
05
—
1790764512-014
—
ME
Enumeration date
11/26/2007
Last updated
06/09/2023
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