Provider Demographics
NPI:1205841020
Name:TRUEMNER, KENDAL (RPH)
Entity Type:Individual
Prefix:
First Name:KENDAL
Middle Name:
Last Name:TRUEMNER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1674
Mailing Address - Street 2:
Mailing Address - City:CASEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48725-1674
Mailing Address - Country:US
Mailing Address - Phone:989-856-2900
Mailing Address - Fax:989-856-2051
Practice Address - Street 1:6568 MAIN ST
Practice Address - Street 2:
Practice Address - City:CASEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48725-9457
Practice Address - Country:US
Practice Address - Phone:989-856-2900
Practice Address - Fax:989-856-2051
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031093183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist