Individual
BRIAN W KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
(803) 536-0998
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 536-0998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23476
RI
207R00000X
Internal Medicine Physician
Primary
23476
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000060163129
UNISON
SC
01
—
20039168
FIRST CHOICE
SC
01
—
4209804
CIGNA
SC
01
—
7854405
AETNA
SC
05
—
T77191
—
SC
Enumeration date
12/16/2005
Last updated
12/07/2009
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