Individual
DR. JEFFREY KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
909 FULTON STREET SE, MINNEAPOLIS, MN 55455
(612) 625-3600
(612) 625-7627
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-7412
(214) 645-2632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3189
CO
103T00000X
Psychologist
B10000591
DE
103TC0700X
Clinical Psychologist
35105
TX
103TC0700X
Clinical Psychologist
Primary
LP5994
MN
Other
Enumeration date
01/30/2006
Last updated
06/27/2019
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