Provider Demographics
NPI:1982863767
Name:ISKANDER, KENDRA NICOLE (MD)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:NICOLE
Last Name:ISKANDER
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 1:1661 WASHINGTON ST
Mailing Address - Street 2:APT. 605
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3331
Mailing Address - Country:US
Mailing Address - Phone:423-432-8680
Mailing Address - Fax:
Practice Address - Street 1:1661 WASHINGTON ST
Practice Address - Street 2:APT. 605
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-3331
Practice Address - Country:US
Practice Address - Phone:423-432-8680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237620208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery