Tabor, Kendall P.

Tabor, Kendall P. is an individual health care provider with primary practice located at 1414 W Fair Ave Ste 215, Marquette MI 49855-2675. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Tabor, Kendall P. can be contacted via phone (906) 225-7709.

Contact Information

Primary practice address
1414 W Fair Ave Ste 215 Marquette MI 49855-2675
Phone: (906) 225-7709
Fax: (906) 225-7707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901001089 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901001089 Michigan

Profile Details

NPI number 1184620908
LBN Legal business name Tabor, Kendall P.
Credentials DPM, FACFS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Oct 14th, 2016 - about 8 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 1184620908 NPPES
Michigan Other 1053597914 NPPES
Michigan MEDICAID 2126020 NPPES

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