Individual
KENDALL RICHARD MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 GOLF VIEW DR., SUITE #200, MEDFORD, OR 97504-8491
(541) 618-4400
(541) 618-4406
Mailing address
760 GOLF VIEW DR., SUITE #200, MEDFORD, OR 97504-8491
(541) 618-4400
(541) 618-4406
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD21990
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275322
—
OR
Enumeration date
02/21/2007
Last updated
06/28/2013
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