Kendall P. Tabor, D.p.m

NPI 1053597914 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1053597914
Enumeration Date 01/10/2008
Last Updated 12/20/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KENDALL P KENDALL
Position OWNER/PODIATRIST
Phone (906) 225-7709
Fax (906) 225-7707
Practice Location
1414 W FAIR AVE
STE 215
MARQUETTE MI, 49855-2675, US
Phone (906) 225-7709
Fax (906) 225-7707
Business Location
1414 W FAIR AVE
STE 215
MARQUETTE MI, 49855-2675, US
Phone (906) 225-7709
Fax (906) 225-7707
Toxanomy
Taxonomy Code 332B00000X
License State Michigan
License Number 5901001089
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According to our database, Kendall P. Tabor, D.p.m NPI is 1053597914, taxonomy code is 332B00000X and license number is 5901001089, license state is located at Michigan. Kendall P. Tabor, D.p.m physically located at 1414 W Fair Ave, Marquette MI, 49855-2675. NPI Number 1033115704 has the healthcare provider type.

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1053597914 NPI number is provided on an as is basis without warranty of any kind. 1053597914 is maintained by the National Plan & Provider Enumeration System. The contents of Kendall P. Tabor, D.p.m are for informational purposes only.