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Individual

ADA L KENDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 423-2454
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 423-2454

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301064136
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0F36132
BCBS
MI
05
3390670
MI
Enumeration date
06/06/2006
Last updated
10/22/2020
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