Corey B Kendall in Indianapolis - Sports Medicine
Corey B Kendall - NPI 1104844919
Corey B Kendall is a Sports Medicine in Indianapolis, Indiana. Corey B Kendall practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Corey B Kendall is 1104844919. The last update date is 2021-03-24.
Corey B Kendall's current location address is 8450 Northwest Blvd, Indianapolis, Indiana. You can contact this provider via phone number 3178022000 and fax number 3178022170. The mailing address for Corey B Kendall is 8450 Northwest Blvd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corey B Kendall |
|---|---|
| Address | 8450 Northwest Blvd, Indianapolis, Indiana |
| Phone Number | 3178022000 |
| Fax Number | 3178022170 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104844919 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2021-03-24 |
Provider Mailing Address Detail
| Address | 8450 Northwest Blvd |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462781381 |
| Phone Number | 3178022000 |
| Fax Number | 3178022170 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 01062840A |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200871610 | IN | -- |
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What is the unique 10-digit identification code issued to Corey B Kendall by the Centers for Medicare & Medicaid Services?
The Corey B Kendall has been assigned the NPI (National Provider Identifier) 1104844919 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Corey B Kendall's physical address?
The Corey B Kendall is physically located at 8450 Northwest Blvd, in the city of Indianapolis, IN, with the postal code 462781381.
What is Corey B Kendall's specialized field of practice, and what is the corresponding taxonomy classification code?
The Corey B Kendall's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104844919 to Corey B Kendall?
The Corey B Kendall received its 1104844919 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.
As of what date were the Corey B Kendall's details last updated?
The information pertaining to the Corey B Kendall, including its address, specialty, and other details, was most recently updated on 2021-03-24.
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