Provider Demographics
NPI:1700013075
Name:KENDEL, JAMES ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARTHUR
Last Name:KENDEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5019 VICTOR DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-9682
Mailing Address - Country:US
Mailing Address - Phone:330-722-7709
Mailing Address - Fax:330-723-0850
Practice Address - Street 1:5019 VICTOR DR
Practice Address - Street 2:SUITE A
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-9682
Practice Address - Country:US
Practice Address - Phone:330-722-7709
Practice Address - Fax:330-723-0850
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3995111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor