Provider Demographics
NPI:1043425465
Name:RADCLIFF, KENDRA LOU (MD)
Entity Type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:LOU
Last Name:RADCLIFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 MARBLE CLIFF OFFICE PARK
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1056
Mailing Address - Country:US
Mailing Address - Phone:614-627-1640
Mailing Address - Fax:614-299-6054
Practice Address - Street 1:2150 MARBLE CLIFF OFFICE PARK
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1056
Practice Address - Country:US
Practice Address - Phone:614-299-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.011929208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics