Individual
KENDALL V THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14118 ASHTON COVE DR, MIDLOTHIAN, VA 23113-3990
(804) 379-4616
Mailing address
9162 RENAISSANCE DR, CEDAR HILLS, UT 84062-9510
(804) 238-2152
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102202592
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12190266
CAQH
—
Enumeration date
05/21/2007
Last updated
12/20/2021
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