Individual
KENDRA SHIRLEY MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10770 ELIZABETH LAKE RD, WHITE LAKE, MI 48386-2136
(248) 618-4100
Mailing address
5235 WHIPPLE LAKE RD, CLARKSTON, MI 48348-3054
(248) 390-9553
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5502000566
MI
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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