Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 33102 | MN |
NPI | 1013992353 |
---|---|
Provider Name | Dr. David M Kendall |
First Address | San Diego, CA 92121-3057 |
Second Address | San Diego, CA 92121-3057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E48296 | (02) |