Provider Demographics
NPI:1467165068
Name:ARNDT, KENDELL
Entity Type:Individual
Prefix:
First Name:KENDELL
Middle Name:
Last Name:ARNDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 RIVERSIDE DR APT 3-13
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617-1054
Mailing Address - Country:US
Mailing Address - Phone:315-525-0823
Mailing Address - Fax:
Practice Address - Street 1:80 RIVERSIDE DR APT 3-13
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-1054
Practice Address - Country:US
Practice Address - Phone:315-525-0823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist