Mckendall, George R.

Mckendall, George R. is an individual health care provider with primary practice located at 2 Dudley St Suite 360, Providence RI 02905-3236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Mckendall, George R. can be contacted via phone (404) 444-5891.

Contact Information

Primary practice address
2 Dudley St Suite 360 Providence RI 02905-3236
Phone: (404) 444-5891
Fax: (401) 444-8158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD07812 Rhode Island

Profile Details

NPI number 1811918394
LBN Legal business name Mckendall, George R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1811918394 NPPES
Rhode Island MEDICAID 9006566

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