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Individual

DR. WARREN KENDALL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
739 SOLDIER CREEK RD, GRANTS PASS, OR 97526-8861
(541) 479-7668
Mailing address
739 SOLDIER CREEK RD, GRANTS PASS, OR 97526-8861

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD09789
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101675
OR
Enumeration date
07/01/2005
Last updated
07/08/2007
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