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Individual

DR. KENDRICK SHUNK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1614
(415) 476-1020
Mailing address
910 PRESIDIO AVE, APT 3, SAN FRANCISCO, CA 94115-3379

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G86253
CA
207RC0000X
Cardiovascular Disease Physician
G86253
CA
207RI0011X
Interventional Cardiology Physician
Primary
G86253
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G862530
CA
Enumeration date
06/24/2006
Last updated
10/05/2021
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