Individual
DR. TERRY WAYNE KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
017838
LA
208000000X
Pediatrics Physician
Primary
MD.017838
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1371793
—
LA
Enumeration date
01/05/2006
Last updated
01/24/2017
Update your record
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