Individual
DR. KENDAL MITCHELL HERVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 286-5000
(918) 249-7532
Mailing address
600 AUTUMN FERN LN, DELAND, FL 32720-2696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4792
OK
207R00000X
Internal Medicine Physician
Primary
OS19908
FL
207RP1001X
Pulmonary Disease Physician
4792
OK
Other
Enumeration date
09/09/2010
Last updated
03/19/2024
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