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NPI Code Detail

MEDICARE: DR. ADAM S KENDALL M.D.

MEDICARE:  DR. ADAM S KENDALL  M.D.
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
1207QS0010XSports Medicine (Family Medicine) Physician2006-00505NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790715845
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM S KENDALL M.D.
Provider Business Mailing Address
First Line : PO BOX 38008
Second Line :
City : GREENSBORO
State : NC
Zip : 27438-8008
Country : US
Telephone Number : 336-545-5000
Fax Number : 336-545-5020
Provider Business Practice Location Address
First Line : 3200 NORTHLINE AVE
Second Line : STE 200
City : GREENSBORO
State : NC
Zip : 27408-7602
Country : US
Telephone Number : 336-545-5000
Fax Number : 336-545-5020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 11/13/2018

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Directions to “ DR. ADAM S KENDALL M.D.” Practice Location

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