Keith S Kendall is a Sports Medicine in Bangor, Maine. Keith S Kendall practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Keith S Kendall is 1164490009. The last update date is 2019-04-26.
Keith S Kendall's current location address is 700 Mount Hope Ave Ste 620, Bangor, Maine. You can contact this provider via phone number 2079472220 and fax number 2079474073. The mailing address for Keith S Kendall is 700 Mount Hope Ave Ste 620, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith S Kendall |
|---|---|
| Address | 700 Mount Hope Ave Ste 620, Bangor, Maine |
| Phone Number | 2079472220 |
| Fax Number | 2079474073 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1164490009 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2019-04-26 |
Provider Mailing Address Detail
| Address | 700 Mount Hope Ave Ste 620 |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44015671 |
| Phone Number | 2079472220 |
| Fax Number | 2079474073 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | POD 1057 |
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Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 431970899 | ME | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keith S Kendall?
The Keith S Kendall has been issued the NPI (National Provider Identifier) 1164490009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Keith S Kendall is located?
The Keith S Kendall is situated at the following address: 700 Mount Hope Ave Ste 620, Bangor, ME, 44015671.
What is Keith S Kendall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Keith S Kendall is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 213Es0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164490009 to Keith S Kendall?
The Centers for Medicare & Medicaid Services assigned the 1164490009 to Keith S Kendall on 2006-03-08.
When was the Keith S Kendall's information last updated?
The Keith S Kendall's information was last updated on 2019-04-26.