Kendall, Lee G

Kendall, Lee G is an individual health care provider with primary practice located at 10 High St Ste 204, Lewiston ME 04240-7640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Kendall, Lee G can be contacted via phone (207) 784-1699.

Contact Information

Primary practice address
10 High St Ste 204 Lewiston ME 04240-7640
Phone: (207) 784-1699
Fax: (207) 784-7554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 012389 Maine

Profile Details

NPI number 1265420590
LBN Legal business name Kendall, Lee G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Oct 1st, 2012 - about 13 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 1265420590 NPPES
Maine Other 010431854001 ANTHEM BCBS
Maine MEDICAID 118720000 ANTHEM BCBS
Maine Other 002140 ANTHEM BCBS

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