Mary Jo Kendrick in Dayton - Dermatopathology

Mary Jo Kendrick - NPI 1114097623

Mary Jo Kendrick is a Dermatopathology in Dayton, Ohio. Mary Jo Kendrick practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Mary Jo Kendrick is 1114097623. The last update date is 2017-02-21.

Mary Jo Kendrick's current location address is 5300 Far Hills Avenue, Dayton, Ohio. You can contact this provider via phone number 9374337536 and fax number 9374339612. The mailing address for Mary Jo Kendrick is 5300 Far Hills Avenue, Dayton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Jo Kendrick
Address 5300 Far Hills Avenue, Dayton, Ohio
Phone Number 9374337536
Fax Number 9374339612
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114097623
Provider Enumeration Date 2006-11-09
Last Updated Date 2017-02-21

Provider Mailing Address Detail

Address 5300 Far Hills Avenue
City Dayton
State Ohio (OH)
Post Code 454292347
Phone Number 9374337536
Fax Number 9374339612

Provider's Primary Taxonomy Detail

Speciality Dermatopathology
Taxonomy 207Nd0900X
Licence No 35.090906
Definition:
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellul

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9996167 OH AETNA
3626852 OH UNITED HEALTH CARE
605859 OH ANTHEM BLUE CROSS/BLUE SHIELD
4905679 OH AETNA

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FAQs about Mary Jo Kendrick

What is the unique identifier code issued to Mary Jo Kendrick by the Centers for Medicare & Medicaid Services?

The Mary Jo Kendrick has been assigned the NPI (National Provider Identifier) 1114097623. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Mary Jo Kendrick located?

The Mary Jo Kendrick is located at 5300 Far Hills Avenue, Dayton, OH 454292347.

What is Mary Jo Kendrick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mary Jo Kendrick is Dermatopathology, and the taxonomy code that classifies this field of practice is 207Nd0900X.

When did Mary Jo Kendrick receive its 1114097623 assignment?

The Mary Jo Kendrick was assigned its 1114097623 on 2006-11-09, which is the date when this unique identifier was issued to the organization.

When was the information regarding Mary Jo Kendrick, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mary Jo Kendrick, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-02-21.

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