Individual
DR. KEVIN LENELLE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4099
(803) 318-3004
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4099
(803) 318-3004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125054165
IL
208800000X
Urology Physician
Primary
274532
NY
Other
Enumeration date
05/04/2009
Last updated
01/09/2020
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