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NPI Code Detail

MEDICARE: DR. JOHN BRIAN KENDRICK MD

MEDICARE: DR. JOHN BRIAN KENDRICK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery PhysicianMD 445503PA
22086S0129XVascular Surgery Physician51515TN

General Provider Information

NPI Number : 1265621635
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN BRIAN KENDRICK MD
Provider Business Mailing Address
First Line : 410 42ND AVE N STE 400
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-3658
Country : US
Telephone Number : 615-329-7887
Fax Number :
Provider Business Practice Location Address
First Line : 832 WESTOVER DR STE 200
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4843
Country : US
Telephone Number : 931-380-3033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2007
Last Update Date : 09/18/2023

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Directions to “ DR. JOHN BRIAN KENDRICK MD” Practice Location

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