Individual
MS. KENDALL A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
244 WILSON DR, XENIA, OH 45385
(937) 372-1602
(937) 372-0154
Mailing address
1028 MIAMISBURG CENTERVILLE RD, WASHINGTON TOWNSHIP, OH 45459-6700
(937) 425-4020
(937) 425-4029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003871RX
OH
363AS0400X
Surgical Physician Assistant
—
OH
Other
Enumeration date
09/10/2013
Last updated
08/03/2022
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