Healthcare Provider Details

I. General information

NPI: 1225324973
Provider Name (Legal Business Name): PATRICK J KENDELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2011
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N MAIN ST
KAYSVILLE UT
84037-1194
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-498-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax: 801-525-8151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number8978973-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: