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Individual

JAMES EDWARD MCKENDREE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1013 MENOHER BLVD, JOHNSTOWN, PA 15905-2544
(814) 254-4885
(814) 254-4533
Mailing address
1013 MENOHER BLVD, JOHNSTOWN, PA 15905-2544
(814) 254-4885
(814) 254-4533

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD420002
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019195700003
PA
Enumeration date
06/20/2005
Last updated
07/10/2023
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