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
Phone: (606) 329-9335
Fax: (606) 324-6383
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548424773 | NPPES |
| Ohio | MEDICAID | 3133102 | |
| Ohio | MEDICAID | 7100146720 | |
| Ohio | MEDICAID | 3810019804 |
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