| Drs Kendall And Kemmerlin Pa | |
|
1817 Woodruff Rd Greenville SC 29607-5936 | |
| (864) 234-7000 | |
| (864) 234-4719 |
| Full Name | Drs Kendall And Kemmerlin Pa |
|---|---|
| Speciality | General Practice |
| Location | 1817 Woodruff Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Thomas William Kendall (PHYSICIAN) |
| Authorized Official Contact | 8642347000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Kendall And Kemmerlin Pa 1817 Woodruff Rd Greenville SC 29607-5936 Ph: (864) 234-7000 | Drs Kendall And Kemmerlin Pa 1817 Woodruff Rd Greenville SC 29607-5936 Ph: (864) 234-7000 |
| NPI Number | 1386867760 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 07/15/2008 |
| Medicare PECOS PAC ID | 7517030158 |
|---|---|
| Medicare Enrollment ID | O20080715000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386867760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Richard W Kemmerlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346397486 PECOS PAC ID: 2062585607 Enrollment ID: I20120430000428 |
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