Individual
KEVIN DENNIS SCHENDEL
Active
Individual
KEVIN DENNIS SCHENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01041754A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192071
ANTHEM PROVIDER NUMBER
IN
05
—
100097680
—
IN
01
—
10825893
CAQH NUMBER
IN
01
—
9397450
PHCS PID NUMBER
IN
05
—
SC17843001
—
IN
Enumeration date
03/21/2006
Last updated
02/24/2021
Update your record
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