Individual
IAN JAMES KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 ARROWHEAD DR, EVANSTON, WY 82930-9266
(307) 783-8255
(307) 783-8167
Mailing address
196 ARROWHEAD DR 6, EVANSTON, WY 82930-8752
(307) 783-8398
(307) 783-8446
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10155A
WY
208600000X
Surgery Physician
TL2981
WY
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/02/2010
Last updated
09/21/2015
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