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General NPI Number Information
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NPI Number | 1700017399
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Entity Type | Individual
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Provider Name | KENDALL LEE MCMILLIN D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 478 WHIRLAWAY DR STE 100
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City | DANVILLE
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State | KY
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Zip | 40422-9037
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Country | US
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Telephone | 859-236-6613
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Fax | 859-236-2284
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Provider Business Mailing Address
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Address Line | 478 WHIRLAWAY DR STE 100
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City | DANVILLE
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State | KY
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Zip | 40422-9037
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Country | US
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Telephone | 859-236-6613
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Fax | 859-236-2284
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 03457
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | UO2217
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License Number State | FL
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