Individual
GEORGE D KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
2900 W 16TH STREET, BEDFORD, IN 47421-3510
(812) 275-1200
(812) 275-1212
Mailing address
PO BOX 12, BEDFORD, IN 47421-3510
(740) 380-8068
(740) 380-8152
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28200961
IN
367500000X
Certified Registered Nurse Anesthetist
RN-240448
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2397973
—
OH
01
—
28200961
RN
IN
Enumeration date
08/25/2005
Last updated
08/28/2012
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