Individual
DR. KENDALL PRATT SHUMWAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P. M.
Contact information
Practice address
11555 1/2 POTRERO RD, BANNING, CA 92220-6946
(951) 849-4761
Mailing address
11555 1/2 POTRERO RD, BANNING, CA 92220-6946
(951) 849-4761
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0483
AZ
213E00000X
Podiatrist
Primary
E4447
CA
Other
Enumeration date
07/15/2005
Last updated
07/08/2007
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