Michels, Kendall Richard

Michels, Kendall Richard is an individual health care provider with primary practice located at 760 Golf View Dr. Suite #200, Medford OR 97504-8491. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Michels, Kendall Richard can be contacted via phone (541) 618-4400.

Contact Information

Primary practice address
760 Golf View Dr. Suite #200 Medford OR 97504-8491
Fax: (541) 618-4406
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD21990 Oregon

Profile Details

NPI number 1891830139
LBN Legal business name Michels, Kendall Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jun 28th, 2013 - about 11 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 1891830139 NPPES
Oregon MEDICAID 275322

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