Kendall, Jonathan Andrew

Kendall, Jonathan Andrew is an sole proprietor health care provider with primary practice located at 613 23Rd St Ste 130 , Ashland KY 41101-2876. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Kendall, Jonathan Andrew can be contacted via phone (606) 329-9335.

Contact Information

Primary practice address
613 23Rd St Ste 130 Ashland KY 41101-2876
Fax: (606) 324-6383
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R1439 Kentucky
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 42870 Kentucky

Profile Details

NPI number 1548424773
LBN Legal business name Kendall, Jonathan Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2008
Last updated Mar 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548424773 NPPES
Ohio MEDICAID 3133102
Ohio MEDICAID 7100146720
Ohio MEDICAID 3810019804

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