Lookup NPI Numbers from the NPI Registry
NPI Profile for BRYAN T KENDRICKS in DOTHAN, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
General Practice |
1223G0001X |
| NPI # | 1477087898 |
|
| Status | Active | |
| Credentials | D.M.D., M.D. | |
| Entity | Individual | |
| Enumeration date | 04/12/2017 | |
| Last updated | 09/08/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRYAN T KENDRICKS
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BRYAN T KENDRICKS, D.M.D., M.D.