Individual
KENDALL BETH ADKISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4776 HODGES BLVD, SUITE 105, JACKSONVILLE, FL 32224-7217
(904) 404-8555
Mailing address
4776 HODGES BLVD, SUITE 105, JACKSONVILLE, FL 32224-7217
(904) 404-8555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
M9116
TX
207N00000X
Dermatology Physician
Primary
ME110325
FL
Other
Enumeration date
09/05/2008
Last updated
01/27/2020
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